James A. Graham Jr.
Individual provider Active NPI Home Modifications Contractor · Kingstree, SC
NPI 1689395139 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1689395139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- Practice address
- 122 Memorial Dr
Kingstree, SC 29556-5575 - Phone
- (803) 542-0443
- NPI assigned
- Sep 2, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | SC | ||
| Home Modifications Contractor | 171WH0202X | Yes |
Addresses
Primary practice location
122 Memorial Dr
Kingstree, SC 29556-5575
Mailing address
122 Memorial Dr
Kingstree, SC 29556-5575
Phone (803) 542-0443
Other providers in Kingstree, SC
- Good Samaritan Home Care Services, LLC
- Good Samaritan Residential Care
- Domonique Jones Goode
- Graceful Companion Home Care LLC
- Dexter Graham
- Meridith Tara Graham
- Sheretta Graham
- Tashanda Graham
- Letitia Chovine Grayson
- Betty Green
All providers in Kingstree, SC · Home Modifications Contractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.