Graham, Omega Denise

Graham, Omega Denise is an sole proprietor health care provider with primary practice located at 378 Wallace St , Lake City SC 29560-4108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Graham, Omega Denise can be contacted via phone (843) 373-0569.

Contact Information

Primary practice address
378 Wallace St Lake City SC 29560-4108
Phone: (843) 373-0569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 24831 South Carolina

Profile Details

NPI number 1225606890
LBN Legal business name Graham, Omega Denise
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 5 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.

Request for update

Popular Providers