Logan Gabriel Graddy in Durham - Addiction Psychiatry
Logan Gabriel Graddy - NPI 1932377280
Logan Gabriel Graddy is a Addiction Psychiatry in Durham, North Carolina. Logan Gabriel Graddy practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Logan Gabriel Graddy is 1932377280. The last update date is 2013-07-16.
Logan Gabriel Graddy's current location address is 910 Broad St, Durham, North Carolina. You can contact this provider via phone number 9194164191 and fax number 8888056175. The mailing address for Logan Gabriel Graddy is 910 Broad St, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Logan Gabriel Graddy |
|---|---|
| Address | 910 Broad St, Durham, North Carolina |
| Phone Number | 9194164191 |
| Fax Number | 8888056175 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932377280 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2013-07-16 |
Provider Mailing Address Detail
| Address | 910 Broad St |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277054142 |
| Phone Number | 9194164191 |
| Fax Number | 8888056175 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | 2007-00070 |
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Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5911215 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Logan Gabriel Graddy by the Centers for Medicare & Medicaid Services?
The Logan Gabriel Graddy has been assigned the NPI (National Provider Identifier) 1932377280 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Logan Gabriel Graddy is physically located?
The Logan Gabriel Graddy is situated at the following address: 910 Broad St, Durham, NC 277054142.
What is the Logan Gabriel Graddy's specialty and taxonomy code?
The Logan Gabriel Graddy's specialty is Addiction Psychiatry, and the corresponding taxonomy code is 2084P0802X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932377280 to Logan Gabriel Graddy?
The Centers for Medicare & Medicaid Services originally issued the 1932377280 to Logan Gabriel Graddy on 2008-02-20.
When was the information regarding Logan Gabriel Graddy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Logan Gabriel Graddy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-07-16.
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