Graham, Carla Camille
Graham, Carla Camille is an individual health care provider with primary practice located at 1714 Gregg Ave , Florence SC 29501-4120. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Graham, Carla Camille can be contacted via phone (843) 665-0400.Contact Information
Primary practice address
1714 Gregg Ave
Florence SC 29501-4120
Phone: (843) 665-0400
Fax: (843) 667-8487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16126 | South Carolina |
Profile Details
| NPI number | 1871541789 |
|---|---|
| LBN Legal business name | Graham, Carla Camille |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871541789 | NPPES |
| South Carolina | MEDICAID | GP2827 |
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