Graham, Mary Virginia

Graham, Mary Virginia is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Graham, Mary Virginia can be contacted via phone (180) 930-8838.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (180) 930-8838
Fax: (386) 719-3622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP460472 Florida

Profile Details

NPI number 1740378579
LBN Legal business name Graham, Mary Virginia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jan 5th, 2008 - about 18 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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