Individual
MS. MAZIE ELIZABETH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2317 PRINCE ST, GEORGETOWN, SC 29440-2925
(843) 240-2061
(843) 527-4838
Mailing address
2317 PRINCE ST, GEORGETOWN, SC 29440-2925
(843) 240-2061
(843) 527-4838
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R26610
SC
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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