Individual
MRS. SANDRA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2246 HIGHWAY 17, LITTLE RIVER, SC 29566-9235
(843) 663-2220
(843) 663-2221
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20847
SC
363LF0000X
Family Nurse Practitioner
Primary
20847
SC
390200000X
Student in an Organized Health Care Education/Training Program
64997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30705179
SELECT HEALTH MEDICAID LINE OF BUSINESS
SC
01
—
4924376
AETNA
SC
01
—
6425288
UNITED HEALTHCARE
SC
01
—
7206002
CIGNA
SC
Enumeration date
12/15/2016
Last updated
09/07/2025
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