Graham, Garth P
Graham, Garth P is an sole proprietor health care provider with primary practice located at 2001 Laurel Ave Suite N304, Knoxville TN 37916-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Graham, Garth P can be contacted via phone (865) 546-9484.Contact Information
Primary practice address
2001 Laurel Ave Suite N304
Knoxville TN 37916-1810
Phone: (865) 546-9484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD37249 | Tennessee |
Profile Details
| NPI number | 1790765378 |
|---|---|
| LBN Legal business name | Graham, Garth P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | May 8th, 2023 - about last year |
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 | 1790765378 | NPPES |
| Tennessee | MEDICAID | 3372353 | |
| Tennessee | MEDICAID | 3884680 |
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