Graham, Donna

Graham, Donna is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. 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, Donna can be contacted via phone (706) 787-6922.

Contact Information

Primary practice address
300 W Hospital Rd Fort Gordon GA 30905-5741
Phone: (706) 787-6922
Fax: (706) 787-7767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN136197NP Georgia

Profile Details

NPI number 1952378564
LBN Legal business name Graham, Donna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated May 22nd, 2015 - about 9 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 1952378564 NPPES
South Carolina MEDICAID NP0756

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