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Contact Information

GEORGE GRAHAM
701 GROVE RD
GREENVILLE, SC29605-4210
 Phone: 864-455-5515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GEORGE GRAHAM · (Male)

NPI Number 1689314742
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2022
Last updated 03/21/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # LL87755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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