Graham, Michael Brent

Graham, Michael Brent is an individual health care provider with primary practice located at 2376 Cypress Cir Ste 300 , Conway SC 29526-8995. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Graham, Michael Brent can be contacted via phone (843) 347-7222.

Contact Information

Primary practice address
2376 Cypress Cir Ste 300 Conway SC 29526-8995
Phone: (843) 347-7222
Fax: (843) 347-3305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MPA.2870PA South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2870 South Carolina

Profile Details

NPI number 1336662964
LBN Legal business name Graham, Michael Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2017
Last updated Mar 17th, 2018 - about 6 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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