Graham, Gregg Travis

Graham, Gregg Travis is an individual health care provider with primary practice located at 354 Copperfield Blvd Ne , Concord NC 28025-2402. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Graham, Gregg Travis can be contacted via phone (704) 786-5122.

Contact Information

Primary practice address
354 Copperfield Blvd Ne Concord NC 28025-2402
Phone: (704) 786-5122
Fax: (704) 782-8279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5011714 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9332853 Florida

Profile Details

NPI number 1356401574
LBN Legal business name Graham, Gregg Travis
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jun 4th, 2019 - about 7 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 1356401574 NPPES
North Carolina Other 0397730026 NSC#

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