Organization
DR. ONA GRAHAM, PC
Active
Other names
Ona Graham Psy D, PC
Organization subpart
No
Provider details
NPI number
Authorized official
ONA GRAHAM PSY D (OWNER/PRESIDENT)
(706) 317-2163
Entity
Organization
Contact information
Practice address
1443 17TH ST, COLUMBUS, GA 31901-2029
(706) 317-2163
(706) 317-2176
Mailing address
1443 17TH ST, COLUMBUS, GA 31901-2029
(706) 317-2163
(706) 317-2176
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY001682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00897124B
—
GA
Enumeration date
11/29/2007
Last updated
11/29/2007
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