Individual
ERNESTO J F GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
PO BOX 296, BRYSON CITY, NC 28713-0296
(910) 421-0010
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9601329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127K4
BCBS
NC
05
—
89127KA
—
NC
Enumeration date
06/09/2006
Last updated
02/07/2022
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