Organization
DR. ONA GRAHAM, PC
Active
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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