Individual
CHARLOTTE JOHNSON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2579 CHIMNEY ROCK RD, HENDERSONVILLE, NC 28792-9181
(505) 301-7802
Mailing address
2785 GARNET DR, NORTH POLE, AK 99705-7321
(505) 301-7802
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
03/28/2024
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