Individual
DONNA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-6922
(706) 787-7767
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-6922
(706) 787-7767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN136197NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0756
—
SC
Enumeration date
03/02/2006
Last updated
05/22/2015
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