Organization
KNOW PAIN CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL GRAHAM MD (PRESIDENT)
(304) 252-2100
Entity
Organization
Contact information
Practice address
1902 HARPER RD STE C, BECKLEY, WV 25801-2642
(304) 252-2100
(304) 252-8200
Mailing address
PO BOX 890471, CHARLOTTE, NC 28289-0471
(800) 277-8151
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008261000
—
WV
01
—
001710419
MOUNTAIN STATE BCBS
WV
01
—
151556400
US DEPT OF LABOR
—
Enumeration date
04/25/2006
Last updated
09/17/2009
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