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NPI Code Detail

MEDICARE: GRAHAM CHIROPRACTIC & HEALTH

MEDICARE: GRAHAM CHIROPRACTIC & HEALTH
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
1261QM2500XMedical Specialty Clinic/Center4038NC

General Provider Information

NPI Number : 1912293994
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRAHAM CHIROPRACTIC & HEALTH
Provider Business Mailing Address
First Line : 5851 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-3475
Country : US
Telephone Number : 910-823-4879
Fax Number :
Provider Business Practice Location Address
First Line : 5851 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-3475
Country : US
Telephone Number : 910-823-4879
Fax Number :
Authorized Official
Title or Position : OWNER/CLINIC DIRECTOR
Name : STEPHANYE GRAHAM
Credential : D.C.
Telephone Number : 910-823-4879
Provider Enumeration Date : 06/28/2011
Last Update Date : 06/28/2011

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Directions to “GRAHAM CHIROPRACTIC & HEALTH ” Practice Location

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