Organization
WILLIAM GRAHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GRAHAM HAIRLOSS SPECIALIST (OWNER)
(919) 940-1785
Entity
Organization
Contact information
Practice address
2033 SHINGLEBACK DR, WAKE FOREST, NC 27587-6554
(919) 940-1785
Mailing address
2033 SHINGLEBACK DR, WAKE FOREST, NC 27587-6554
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
6570
NC
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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