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Individual

THOMAS W. GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 W WALKER AVE, ASHEBORO, NC 27203-6760
(336) 633-7200
(336) 625-3817
Mailing address
PO BOX 9, WEST END, NC 27376-0009
(910) 673-9111
(910) 673-6202

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27547
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5901484
NC
Enumeration date
06/12/2006
Last updated
03/07/2008
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