1093843773

Everything you always wanted to know about MR. GRAHAM DEWAYNE MICHAEL BS but were afraid to ask.

MR. GRAHAM DEWAYNE MICHAEL BS

You can also download the this 1093843773 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MR. GRAHAM DEWAYNE MICHAEL BS
Gender:
Male
Enumeration date:
2007-03-02
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
101YM0800X Mental Health none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2798854776
Practice Location Address Telephone Number 9319207292
Mailing Address Fax Number 9319207212
Practice Location Address Fax Number 9319207212

Addresses

Type Address City State Postal Country
Mailing Address 901 STANLEY ST HOPKINSVILLE KY 42240 KY
Practice Location Address 611 8TH ST CLARKSVILLE TN 0 TN

Other NPI Records that share a phone number

NPI Name Address State City
1518390657 BUSTIN, MEGAN
Individual
611 8TH ST TN CLARKSVILLE
1568608925 HOWARD, IRENE
Individual
611 8TH ST TN CLARKSVILLE
1770611329 LEWIS, RITA
Individual
611 8TH ST TN CLARKSVILLE

Other NPI Records that share an address

NPI Name Address State City
1013161876 SHARP, SARA
Individual
611 8TH ST TN CLARKSVILLE
1326569088 BOWLING, KERRY
Individual
611 8TH ST TN CLARKSVILLE
1407986193 DARKE, MARY
Individual
611 8TH ST TN CLARKSVILLE
1518390657 BUSTIN, MEGAN
Individual
611 8TH ST TN CLARKSVILLE
1568608925 HOWARD, IRENE
Individual
611 8TH ST TN CLARKSVILLE
1700261914 NIXON, BREANNE
Individual
611 8TH ST TN CLARKSVILLE
1750635603 HALE, MIRANDA
Individual
611 8TH ST TN CLARKSVILLE
1770611329 LEWIS, RITA
Individual
611 8TH ST TN CLARKSVILLE
1861922585 HARPER, ASHLEY
Individual
611 8TH ST TN CLARKSVILLE
1932453859 BAXTER, SHELLI
Individual
611 8TH ST TN CLARKSVILLE