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Contact Information

DERAINE H GRAHAM, NP
2225 US HIGHWAY 41 N
TIFTON, GA31794
 Phone: 229-391-4100
 Fax: 229-391-4508
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DERAINE H GRAHAM · (Female)

NPI # 1033228200
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/30/2006
Last updated 03/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN072968
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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