GRAHAM PRIMARY HEALTHCARE NPI 1417361247

NPI Information

GRAHAM PRIMARY HEALTHCARE is a primary care nurse practitioner in West Memphis, AR. GRAHAM PRIMARY HEALTHCARE NPI is 1417361247. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 S RHODES ST STE C1
WEST MEMPHIS, AR
ZIP 72301-212
Phone: (870) 394-4387
Fax: (870) 394-9751

The provider's authorized official is Kendra Phillips .
The authorized official title is Business Office Manager and has the following contact phone number (870) 394-4387.

The CLIA number assigned to this NPI record is 04D2085556 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2014 and was last updated on 6/19/2014.

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:

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