Deraine H Graham NP

NPI 1033228200 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1033228200
Gender Female
Enumeration Date 08/30/2006
Last Updated 03/18/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2225 US HIGHWAY 41 N
TIFTON GA, 31794, US
Phone (229) 391-4100
Fax (229) 391-4508
Business Location
2225 US HWY 41 N
TIFTON GA, 31794, US
Phone (229) 391-4100
Fax (229) 391-4508
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN072968
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According to our database, Deraine H Graham NP NPI is 1033228200, taxonomy code is 363L00000X and license number is RN072968, license state is located at Georgia. Deraine H Graham NP physically located at 2225 Us Highway 41 N, Tifton GA, 31794. NPI Number Deraine H Graham NP has the Individual type.

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1033228200 NPI number is provided on an as is basis without warranty of any kind. 1033228200 is maintained by the National Plan & Provider Enumeration System. The contents of Deraine H Graham NP are for informational purposes only.