Philip Douglas Graham in North Chilli - Physician Assistant
Philip Douglas Graham - NPI 1922289107
Philip Douglas Graham is a Physician Assistant in North Chilli, New York. Philip Douglas Graham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Philip Douglas Graham is 1922289107. The last update date is 2023-07-18.
Philip Douglas Graham's current location address is Po Box 505, North Chilli, New York. You can contact this provider via phone number 5855945995 and fax number 5855945425. The mailing address for Philip Douglas Graham is Po Box 505, North Chilli, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Douglas Graham |
|---|---|
| Address | Po Box 505, North Chilli, New York |
| Phone Number | 5855945995 |
| Fax Number | 5855945425 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1922289107 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2023-07-18 |
Provider Mailing Address Detail
| Address | Po Box 505 |
|---|---|
| City | North Chilli |
| State | New York (NY) |
| Post Code | 145140505 |
| Phone Number | 5855945995 |
| Fax Number | 5855945425 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 12180 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2942809 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Philip Douglas Graham by the Centers for Medicare & Medicaid Services?
The Philip Douglas Graham has been assigned the NPI (National Provider Identifier) 1922289107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Philip Douglas Graham?
The Philip Douglas Graham is situated at Po Box 505, in the city of North Chilli, state of NY, with the zip code 145140505.
What is Philip Douglas Graham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Philip Douglas Graham is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Philip Douglas Graham receive the assignment of its 1922289107 from the Centers for Medicare & Medicaid Services?
The Philip Douglas Graham was issued its 1922289107 by the Centers for Medicare & Medicaid Services on 2007-11-16.
When was the information pertaining to Philip Douglas Graham most recently updated or revised?
The details related to Philip Douglas Graham, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-18.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC