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NPI Code Detail

MEDICARE: EULALIA CIDELA BARAJAS-GRAHAM PA

MEDICARE: EULALIA CIDELA BARAJAS-GRAHAM PA
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
1363A00000XPhysician Assistant0010-08086NC

General Provider Information

NPI Number : 1679081319
Entity Type Code : Individual
Provider Name (Legal Business Name) : EULALIA CIDELA BARAJAS-GRAHAM PA
Provider Business Mailing Address
First Line : 5221 PARAMOUNT PKWY STE 220
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 N WALNUT ST
Second Line :
City : FAIRMONT
State : NC
Zip : 28340-1951
Country : US
Telephone Number : 910-628-0655
Fax Number : 910-628-0158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2018
Last Update Date : 09/27/2023

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Directions to “ EULALIA CIDELA BARAJAS-GRAHAM PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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