Individual
CHRISTOPHER NEAL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
PO BOX 2127, ATHENS, TX 75751-7127
(903) 677-1000
(903) 677-1694
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17295
TN
367500000X
Certified Registered Nurse Anesthetist
740971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17295
TN MEDICAL LICENSE
TN
01
—
C002960
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
08/30/2012
Last updated
11/14/2013
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