Individual
GRAHAM PETER TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
100897
GA
2085R0202X
Diagnostic Radiology Physician
321374
NY
2085R0202X
Diagnostic Radiology Physician
D0097175
MD
2085R0202X
Diagnostic Radiology Physician
MD471626
PA
Other
Enumeration date
03/26/2018
Last updated
09/06/2024
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