Mr Damon Graham Jr, LCSW | |
635 Myron Hart Rd, Coolidge, GA 31738-2143 | |
(229) 224-0655 | |
(229) 941-5865 |
Full Name | Mr Damon Graham Jr |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 27 Years |
Location | 635 Myron Hart Rd, Coolidge, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831545474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW005767 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christopher Dennis Md Pllc | 7416254990 | 48 |
Entity Name | Christopher Dennis Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588090229 PECOS PAC ID: 7416254990 Enrollment ID: O20190327002643 |
Mailing Address | Practice Location Address |
---|---|
Mr Damon Graham Jr, LCSW 635 Myron Hart Rd, Coolidge, GA 31738-2143 Ph: (229) 224-0655 | Mr Damon Graham Jr, LCSW 635 Myron Hart Rd, Coolidge, GA 31738-2143 Ph: (229) 224-0655 |
Amanda Gandy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 327 Carnell Rd, Coolidge, GA 31738 Phone: 229-224-1009 | |
Mrs. Tamara A Iacampo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7363 Hall Road, Coolidge, GA 31773 Phone: 229-228-5192 Fax: 229-228-5139 | |
Mr. John Carl Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7363 Hall Rd, Coolidge, GA 31738 Phone: 229-228-5192 Fax: 229-228-5139 |