Individual
JOEL TYLER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 493-4581
Mailing address
PO BOX 13888, ROANOKE, VA 24038-3888
(540) 493-4581
(770) 237-1727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001208110
VA
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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