Graham Clinic Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

089530 Issued in SC

Legal business name

GRAHAM CLINIC INC.

Practice address

1278 Moore St
Lake City, SC 29560-4601

Phone

(843) 389-7251

Fax

(843) 389-7253

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Toney Graham Jr., M.D.

Title

Doctor

Phone

(843) 389-7251

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Lisa Frierson, FNP

  • Family Nurse Practitioner
  • Lake City, SC
  • NPI 1215166111
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1992732432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604601",
            "telephone_number": "843-389-7251",
            "fax_number": "843-389-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604601",
            "telephone_number": "843-389-7251",
            "fax_number": "843-389-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TONEY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-389-7251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "089530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089530",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Glasscho, RN,C
• Tiffany Renee Godbolt, P.T.A.
• Ashton Cagle Godwin, NP
• Goldstar Academy of Health and Sciences
• Grace and Mercy Home Health LC
• Andrea Graham
• Darlene G Graham, RN
• Omega Denise Graham, PMHNP
• Toney Graham Jr., M.D.
• Toney Graham III, MD

• Primary Care Clinic/Center in Lake City, SC
• Providers in Lake City, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.