Individual
DR. GEORGIA ROSALIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR OF CHIROPRACTIC
Contact information
Practice address
1330 SAN PEDRO NE, SUITE 101, ALBUQUERQUE, NM 87110
(505) 265-4697
(505) 265-0846
Mailing address
1330 SAN PEDRO NE, #101, ALBUQUERQUE, NM 87110
(505) 265-4697
(505) 265-0840
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
876
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
663252
ACN UNITED
—
01
—
K486
BCBS
—
Enumeration date
11/06/2006
Last updated
07/08/2007
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