Graham, John M

Graham, John M is an individual health care provider with primary practice located at 2093 Henry Tecklenburg Dr Ste 200E , Charleston SC 29414-5742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Graham, John M can be contacted via phone (843) 958-2500.

Contact Information

Primary practice address
2093 Henry Tecklenburg Dr Ste 200E Charleston SC 29414-5742
Phone: (843) 958-2500
Fax: (843) 958-2680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 12856 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 12856 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 12856 South Carolina

Profile Details

NPI number 1790710093
LBN Legal business name Graham, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 21st, 2022 - about 2 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 1790710093 NPPES
South Carolina MEDICAID 128560
South Carolina Other P00648646
South Carolina Other P00754387

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