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Organization

DR. ONA GRAHAM, PC

Active
Other names
ONA GRAHAM, PSYD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ONA GRAHAM PSY D (OWNER/PRESIDENT)
(706) 317-2163
Entity
Organization

Contact information

Practice address
1443 17TH ST, COLUMBUS, GA 31901-2029
(706) 317-2163
(706) 317-2176
Mailing address
1443 17TH ST, COLUMBUS, GA 31901-2029
(706) 317-2163
(706) 317-2176

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY001682
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00897124B
GA
Enumeration date
04/22/2008
Last updated
04/22/2008
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