| Graham Clinic Inc. | |
|
1278 Moore St Lake City SC 29560-4601 | |
| (843) 389-7251 | |
| (843) 389-7253 |
| Full Name | Graham Clinic Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1278 Moore St, Lake City, South Carolina |
| Authorized Official Name and Position | Toney Graham (DOCTOR) |
| Authorized Official Contact | 8433897251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Clinic Inc. 1278 Moore St Lake City SC 29560-4601 Ph: (843) 389-7251 | Graham Clinic Inc. 1278 Moore St Lake City SC 29560-4601 Ph: (843) 389-7251 |
| NPI Number | 1992732432 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 01/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992732432 | NPI | - | NPPES |
| 089530 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 089530 (South Carolina) | Primary |
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