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Organization

JAMES C. GRAHAM S C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES C GRAHAM DPM (OWNER)
(217) 342-2040
Entity
Organization

Contact information

Practice address
900 W TEMPLE AVE, SUITE 202, EFFINGHAM, IL 62401-2121
(217) 342-2040
(217) 342-5816
Mailing address
900 W TEMPLE AVE, SUITE 202, EFFINGHAM, IL 62401-2121
(217) 342-2040
(217) 342-5816

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016004249
IL

Other

Enumeration date
12/05/2007
Last updated
09/08/2010
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