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:
Health care specialties
Specialty | Code | License # | 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 10 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 | 1952378564 | NPPES |
South Carolina | MEDICAID | NP0756 |
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