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Individual

DR. SUTTON L GRAHAM II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 HALTON RD, SUITE 100, GREENVILLE, SC 29607
(864) 676-1707
(864) 676-9256
Mailing address
615 HALTON RD, SUITE 100, GREENVILLE, SC 29607
(864) 676-1707
(864) 676-9256

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
11893
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0192
SC
Enumeration date
09/21/2006
Last updated
07/08/2007
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