Pereira, Graham Ivan

Pereira, Graham Ivan is an individual health care provider with primary practice located at 140 Allen Court , North Augusta SC 29860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pereira, Graham Ivan can be contacted via phone (803) 510-0007.

Contact Information

Primary practice address
140 Allen Court North Augusta SC 29860
Phone: (803) 510-0007
Fax: (803) 510-0144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 031097 Georgia

Profile Details

NPI number 1780649251
LBN Legal business name Pereira, Graham Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 25th, 2018 - 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 1780649251 NPPES
Georgia MEDICAID 000373315H
Georgia Other 122524
Georgia MEDICAID GPA723

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