Individual
MARK LEO GRAHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 ASHVILLE AVE STE 440, CARY, NC 27518-6600
(919) 350-8585
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39812
NC
207RH0003X
Hematology & Oncology Physician
Primary
39812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760481667
—
NC
05
—
89138AH
—
NC
Enumeration date
07/21/2005
Last updated
11/09/2022
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