Individual
MR. MICHAEL BRENT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 US-17 SUITE 206, MURRELLS INLET, SC 29576
(843) 652-8260
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.2870PA
SC
363AS0400X
Surgical Physician Assistant
Primary
2870
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2017
Last updated
02/10/2026
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