ERNESTO J F GRAHAM MD PA NPI 1528161668

NPI Information

ERNESTO J F GRAHAM MD PA is an obstetrics gynecology in Fayetteville, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ERNESTO J F GRAHAM MD PA NPI is 1528161668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1521 OWEN PARK LN
FAYETTEVILLE, NC
ZIP 28304-454
Phone: (910) 223-7420

The provider's authorized official is Ernesto Graham .
The authorized official title is Physician and has the following contact phone number (910) 223-7420.

The CLIA number assigned to this NPI record is 34D0975792 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/11/2021.

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:

Other Identifiers

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

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