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Contact Information

CHARLES P GRAHAM, P.T.A.
115 BLARNEY DRIVE
SUITE 202
COLUMBIA, SC29223
 Phone: 803-736-4845
 Fax: 803-736-8674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for CHARLES P GRAHAM · (Male)

NPI # 1154785178
Status Active
Credentials P.T.A.
Entity Individual
Enumeration date 04/06/2016
Last updated 04/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 3475
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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