Individual
MR. TONEY GRAHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1278 MOORE ST, LAKE CITY, SC 29560-4601
(843) 389-7251
(843) 389-7253
Mailing address
1278 MOORE ST, LAKE CITY, SC 29560-4601
(843) 389-7251
(843) 389-7253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08953
SC
261QP2300X
Primary Care Clinic/Center
89530
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089530
—
SC
Enumeration date
07/26/2006
Last updated
04/13/2016
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