Byrum, Graham Vance

Byrum, Graham Vance is an individual health care provider with primary practice located at 511 Paladin Dr , Greenville NC 27834-7826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Byrum, Graham Vance can be contacted via phone (252) 752-8880.

Contact Information

Primary practice address
511 Paladin Dr Greenville NC 27834-7826
Phone: (252) 752-8880
Fax: (252) 317-2092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 29234 North Carolina

Profile Details

NPI number 1174525315
LBN Legal business name Byrum, Graham Vance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174525315 NPPES
North Carolina MEDICAID 8920631
North Carolina Other C73122

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