Individual
DONALD DEAN GRAHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 HIGHWAY 105 EXT, SUITE 104, BOONE, NC 28607-5681
(336) 386-2746
(336) 386-2750
Mailing address
148 HIGHWAY 105 EXT, SUITE 104, BOONE, NC 28607-5681
(336) 386-2746
(336) 386-2750
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9401410
NC
207RP1001X
Pulmonary Disease Physician
Primary
9401410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8936641
—
NC
Enumeration date
11/15/2005
Last updated
03/20/2017
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