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NPI Code Detail

MEDICARE: AUSTIN CECIL CURTIS GRAHAM DO

MEDICARE: AUSTIN CECIL CURTIS GRAHAM DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician58.034406OH

General Provider Information

NPI Number : 1932954336
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN CECIL CURTIS GRAHAM DO
Provider Business Mailing Address
First Line : 455 SHAWNEE LN
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-4145
Country : US
Telephone Number : 740-779-4888
Fax Number : 740-779-4898
Provider Business Practice Location Address
First Line : 455 SHAWNEE LN
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-4145
Country : US
Telephone Number : 740-779-4888
Fax Number : 740-779-4898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2024
Last Update Date : 03/03/2026

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