Individual
PAUL EVERETT GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 SENOIA RD, FAIRBURN, GA 30213-1653
(770) 896-2053
Mailing address
303 SENOIA RD, FAIRBURN, GA 30213-1653
(770) 896-2053
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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