William Graham

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

6570 Issued in NC

Legal business name

WILLIAM GRAHAM

Practice address

2033 Shingleback Dr
Wake Forest, NC 27587-6554

Phone

(919) 940-1785

NPI assigned

Apr 10, 2017

Last updated

Apr 10, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Graham, HAIRLOSS SPECIALIST

Title

Owner

Phone

(919) 940-1785

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1568995173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 SHINGLEBACK DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 SHINGLEBACK DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876554",
            "telephone_number": "919-940-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM GRAHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-940-1785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HAIRLOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.