MRS. CLARISSA GRAHAM NPI 1902366701

NPI Information

NPI: 1902366701
Provider Name: MRS. CLARISSA GRAHAM
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
8106 FLINTWOOD CT
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 593-1048
Get Directions

MRS. Clarissa Graham is a home modifications contractor in North Charleston, SC. MRS. Clarissa Graham NPI is 1902366701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8106 FLINTWOOD CT
NORTH CHARLESTON, SC
ZIP 29406-435
Phone: (843) 593-1048

The enumeration date for this NPI number is 3/20/2019 and was last updated on 3/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications	RBS60998	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2019	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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