Organization
GRAHAM CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONEY GRAHAM JR. M.D. (DOCTOR)
(843) 389-7251
Entity
Organization
Contact information
Practice address
1278 MOORE ST, LAKE CITY, SC 29560-4601
(843) 389-7251
(843) 389-7253
Mailing address
1278 MOORE ST, LAKE CITY, SC 29560-4601
(843) 389-7251
(843) 389-7253
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
089530
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089530
—
SC
Enumeration date
06/28/2006
Last updated
01/24/2012
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