Individual
AMBER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-7048
Mailing address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-7048
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
89733
SC
363LF0000X
Family Nurse Practitioner
Primary
20252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3961
—
SC
01
—
SC88456067
MEDICARE PIN
SC
01
—
SC88456084
MEDICARE PIN
SC
01
—
SC8845J577
MEDICARE PIN
SC
Enumeration date
06/01/2016
Last updated
02/03/2020
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