Alvan Leon Graham JR.

NPI 1083698146 - Optometrist - 152W00000X

NPI Details
NPI 1083698146
Gender Male
Enumeration Date 12/02/2005
Last Updated 04/02/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
5377 HIGHWAY 136
TRENTON GA, 30752-2900, US
Phone (706) 657-7559
Fax (706) 657-3937
Business Location
PO BOX 156
TRENTON GA, 30752-0156, US
Phone (706) 657-7559
Fax (706) 657-3937
Taxonomy Code 152W00000X
License State Tennessee
License Number OD0000000674
Remove 1083698146 NPI Number

According to our database, Alvan Leon Graham JR. NPI is 1083698146, taxonomy code is 152W00000X and license number is OD0000000674, license state is located at Tennessee. Alvan Leon Graham JR. physically located at 5377 Highway 136, Trenton GA, 30752-2900. NPI Number Alvan Leon Graham JR. has the Individual type.

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1083698146 NPI number is provided on an as is basis without warranty of any kind. 1083698146 is maintained by the National Plan & Provider Enumeration System. The contents of Alvan Leon Graham JR. are for informational purposes only.