Individual
JED ALAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 HWY 25 N, HODGES, SC 29653
(864) 993-1984
Mailing address
124 YUCCA CT, GREENWOOD, SC 29649-9422
(864) 993-1984
(864) 532-2527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23953
SC
207Q00000X
Family Medicine Physician
Primary
MD23953
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L38500
—
SC
Enumeration date
07/12/2006
Last updated
01/15/2026
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