Individual
ANGUS WOODWARD GRAHAM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 ELKS CLUB RD, BREVARD, NC 28712-3514
(828) 553-3397
Mailing address
44 ELKS CLUB RD, BREVARD, NC 28712-3514
(828) 553-3397
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9300132
NC
207XP3100X
Pediatric Orthopaedic Surgery Physician
9300132
NC
207XS0106X
Orthopaedic Hand Surgery Physician
9300132
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
9300132
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
9300132
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
9300132
NC
207XX0801X
Orthopaedic Trauma Physician
9300132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034670B
MEDICARE PTAN
NC
Enumeration date
05/31/2005
Last updated
02/25/2025
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