Individual
CARLISS CHRISTOPHER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 INTERSTATE SOUTH DR, SUITE B, JASPER, GA 30143-6226
(678) 454-3306
(706) 253-2431
Mailing address
80 INTERSTATE SOUTH DR, SUITE B, JASPER, GA 30143-6226
(678) 454-3306
(706) 253-2431
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
063782
GA
Other
Enumeration date
10/02/2008
Last updated
03/15/2018
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