Individual
MR. COLE BLEASE GRAHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 522-1800
(864) 522-1806
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
20826
SC
2085R0202X
Diagnostic Radiology Physician
20826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506808
—
NV
05
—
208260
—
SC
Enumeration date
12/19/2005
Last updated
03/02/2026
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