Individual
MS. DENISE D GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9104 HIGHWAY 81 S, IVA, SC 29655-9797
(864) 352-6175
(864) 352-2308
Mailing address
9104 HIGHWAY 81 S, IVA, SC 29655-9797
(864) 352-6175
(864) 352-2308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
42873
SC
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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