Warren, Graham
Warren, Graham is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Warren, Graham can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
171 Ashley Ave
Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 253883 | New York |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 35282 | South Carolina |
Profile Details
| NPI number | 1043473739 |
|---|---|
| LBN Legal business name | Warren, Graham |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Oct 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043473739 | NPPES |
| New York | MEDICAID | 03122896 |
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