Organization
WAVERLY HEMATOLOGY ONCOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GRAHAM II MD (DIRECTOR)
(919) 233-8585
Entity
Organization
Contact information
Practice address
300 ASHVILLE AVE, SUITE 310, CARY, NC 27518-8682
(919) 233-8585
(919) 233-8566
Mailing address
300 ASHVILLE AVE, SUITE 310, CARY, NC 27518-8682
(919) 233-8585
(919) 233-8566
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
39812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138AH
BLUE CROSS
NC
05
—
89138AH
—
NC
01
—
P00403727
PALMETTO GBA
NC
Enumeration date
12/26/2006
Last updated
10/02/2008
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