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Organization

THE GRAEBER CORPORATION

Active
Other names
Diabetic Supply of Graco
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY T KISER (PRESIDENT)
(704) 860-1724
Entity
Organization

Contact information

Practice address
910 E GARRISON BLVD, GASTONIA, NC 28054-4571
(704) 824-6000
Mailing address
910 E GARRISON BLVD, GASTONIA, NC 28054-4571

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003110864
CT
05
00440372
MS
05
00697837A
GA
05
009604580
AL
05
010093333
VA
05
0584219
IA
05
128633741
AR
05
172800800
MD
05
200017060A
OK
05
200095560A
IN
05
2007876
OH
05
4581898
TN
05
7265213 TYPE 57
PA
05
7701563
NC
05
90052523
KY
05
9159970
SD
05
DME965
SC
05
MS714NC
AK
Enumeration date
01/23/2006
Last updated
01/07/2026
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