Individual
MR. GARY MICHAEL GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-2697
Mailing address
432 GROVE PARK LN, LEXINGTON, NC 27295-7378
(336) 764-8140
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
38848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095185
NURSING LICENCE
NC
05
—
8050219
—
NC
Enumeration date
12/13/2005
Last updated
09/12/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us