Graham, Deraine H

Graham, Deraine H is an individual health care provider with primary practice located at 2225 Us Highway 41 N , Tifton GA 31794. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Graham, Deraine H can be contacted via phone (229) 391-4100.

Contact Information

Primary practice address
2225 Us Highway 41 N Tifton GA 31794
Phone: (229) 391-4100
Fax: (229) 391-4508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN072968 Georgia

Profile Details

NPI number 1033228200
LBN Legal business name Graham, Deraine H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 18th, 2008 - about 16 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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