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NPI Code Detail

MEDICARE: DR. GRAHAM HENRY ERLACHER JR. M.D.

MEDICARE: DR. GRAHAM HENRY ERLACHER JR. M.D.
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
1207Q00000XFamily Medicine Physician200101548NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200101548OTHERNCNC MEDICAL LICENSE

General Provider Information

NPI Number : 1003999780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRAHAM HENRY ERLACHER JR. M.D.
Provider Business Mailing Address
First Line : 1021 DARRINGTON DR STE 101
Second Line :
City : CARY
State : NC
Zip : 27513-8158
Country : US
Telephone Number : 919-852-3999
Fax Number : 919-378-9114
Provider Business Practice Location Address
First Line : 1309 LEES CHAPEL RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2601
Country : US
Telephone Number : 336-800-8958
Fax Number : 336-286-5583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 04/20/2023

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