Individual
DWIGHT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1740
(828) 213-1742
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 651-6516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200000806
NC
2086S0120X
Pediatric Surgery Physician
200000806
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891260W
—
NC
Enumeration date
01/19/2006
Last updated
01/26/2022
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