Graham, Antonio Andre
Graham, Antonio Andre is an sole proprietor health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Graham, Antonio Andre can be contacted via phone (781) 724-5348.Contact Information
Primary practice address
1670 Clairmont Rd
Decatur GA 30033-4004
Phone: (781) 724-5348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036163417 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036163417 | Illinois |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 077372 | Georgia |
Profile Details
| NPI number | 1619255148 |
|---|---|
| LBN Legal business name | Graham, Antonio Andre |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2011 |
| Last updated | May 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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