Individual
CARSON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 ELM ST, AYNOR, SC 29511-3007
(864) 551-1730
Mailing address
PO BOX 158, AYNOR, SC 29511-0158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F05260218
SC
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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