Individual
DEXTER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 2ND AVE, KINGSTREE, SC 29556-2913
(843) 401-8423
(843) 354-7985
Mailing address
513 2ND AVE, KINGSTREE, SC 29556-2913
(843) 401-8423
(843) 354-7985
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
G116035
SC
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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