Provider Information for 1902575194
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
WILLIAM GRAHAM
Sex: Male
NPI: 1902575194
Last Updated: 2024-07-23
Certification Date: 2024-07-23
Certification Date: 2024-07-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902575194 | ||||||||||||
| Enumeration Date | 2021-09-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 567 CASON LN MURFREESBORO, TN 37128-4821 United States Phone: 615-720-2567 | Fax:000-000-0000 | ||||||||||||
| Primary Practice Address | 567 CASON LN MURFREESBORO, TN 37128-4821 United States Phone: 615-720-2567 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|