Electra Chante Bradshaw Graham MD

NPI 1275848897 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1275848897
Gender Female
Enumeration Date 08/09/2010
Last Updated 03/06/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
300 PALMETTO HEALTH PKWY
SUITE 300
COLUMBIA SC, 29212-1759, US
Phone (803) 907-7300
Fax (803) 907-7309
Business Location
PO BOX 402145
ATLANTA GA, 30384-2145, US
Phone (803) 296-7305
Fax (803) 296-7330
Toxanomy
Taxonomy Code 207V00000X
License State South Carolina
License Number 33080
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According to our database, Electra Chante Bradshaw Graham MD NPI is 1275848897, taxonomy code is 207V00000X and license number is 33080, license state is located at South Carolina. Electra Chante Bradshaw Graham MD physically located at 300 Palmetto Health Pkwy, Columbia SC, 29212-1759. NPI Number Electra Chante Bradshaw Graham MD has the Individual type.

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1275848897 NPI number is provided on an as is basis without warranty of any kind. 1275848897 is maintained by the National Plan & Provider Enumeration System. The contents of Electra Chante Bradshaw Graham MD are for informational purposes only.