Organization
GRAHAM MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A GRAHAM IV MD (PHYSICIAN)
(336) 527-1033
Entity
Organization
Contact information
Practice address
800 CHATHAM MEDICAL PARK, ELKIN, NC 28621-2484
(336) 527-1033
Mailing address
PO BOX 24187, WINSTON SALEM, NC 27114-4187
(336) 527-1033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-00878
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127G2
BCBSNC
NC
01
—
195919
MEDCOST
NC
01
—
38748
PARTNERS
NC
05
—
5909208
—
NC
Enumeration date
03/08/2007
Last updated
06/11/2008
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