Graham, Sutton L

Graham, Sutton L is an individual health care provider with primary practice located at 615 Halton Rd Suite 100, Greenville SC 29607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Graham, Sutton L can be contacted via phone (864) 676-1707.

Contact Information

Primary practice address
615 Halton Rd Suite 100 Greenville SC 29607
Phone: (864) 676-1707
Fax: (864) 676-9256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 11893 South Carolina

Profile Details

NPI number 1972601888
LBN Legal business name Graham, Sutton L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1972601888 NPPES
South Carolina MEDICAID GP0192

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