Individual
BARRY GERARD GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2934 N ELM ST, STE B, LUMBERTON, NC 28358-2986
(910) 272-1175
(910) 272-1176
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104063
NC
Other
Enumeration date
02/26/2007
Last updated
03/01/2024
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