Individual
GRAHAM IVAN PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860
(803) 510-0007
(803) 510-0144
Mailing address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860
(803) 510-0007
(803) 510-0144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
031097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000373315H
—
GA
01
—
122524
BLUE CROSS
—
05
—
GPA723
—
SC
Enumeration date
04/19/2006
Last updated
04/12/2026
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