Graham, Audrey E.

Graham, Audrey E. is an individual health care provider with primary practice located at 3300 Rivermont Ave , Lynchburg VA 24503-2030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Graham, Audrey E. can be contacted via phone (434) 200-4072.

Contact Information

Primary practice address
3300 Rivermont Ave Lynchburg VA 24503-2030
Phone: (434) 200-4072
Fax: (434) 200-5546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 000968 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101243718 Virginia

Profile Details

NPI number 1972725265
LBN Legal business name Graham, Audrey E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jun 12th, 2019 - about 7 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 1972725265 NPPES
Virginia MEDICAID 1972725265

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