Individual
DR. RICHARD WILLIAM GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., MSD
Contact information
Practice address
456 PATILLO CT, SPARTANBURG, SC 29301
(864) 582-1415
(864) 582-1441
Mailing address
456 PATILLO CT, SPARTANBURG, SC 29302
(864) 582-1415
(864) 582-1441
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2984
SC
Other
Enumeration date
09/14/2006
Last updated
11/12/2015
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