| Dewberry Graham Llc | |
|
6845 Knightdale Blvd Ste 104 Knightdale NC 27545-9651 | |
| (919) 217-0061 | |
| (919) 217-0069 |
| Full Name | Dewberry Graham Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6845 Knightdale Blvd, Knightdale, North Carolina |
| Authorized Official Name and Position | Ronetta Graham (OWNER) |
| Authorized Official Contact | 9192170061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewberry Graham Llc 6845 Knightdale Blvd Ste 104 Knightdale NC 27545-9651 Ph: (919) 217-0061 | Dewberry Graham Llc 6845 Knightdale Blvd Ste 104 Knightdale NC 27545-9651 Ph: (919) 217-0061 |
| NPI Number | 1962665406 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962665406 | NPI | - | NPPES |
| 6006458 | Medicaid | NC | |
| 5917583 | Medicaid | NC |
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