Individual
CHARISSE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1513 CLEVELAND AVE, ATLANTA, GA 30344-6947
(404) 756-1422
Mailing address
50 HURT PLZ SE STE 630, ATLANTA, GA 30303-2915
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
103830
GA
2080A0000X
Pediatric Adolescent Medicine Physician
ME168278
FL
Other
Enumeration date
04/04/2017
Last updated
12/23/2025
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