DERAINE H GRAHAM

TIFTON, GA
NPI1033228200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN072968)
Enumeration Date2006-08-30
Last Update Date2008-03-18
Business Address
-- DERAINE H GRAHAM NP
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Phone number: 229-391-4100
Mailing Address
-- DERAINE H GRAHAM NP
2225 US HWY 41 N
TIFTON, GA 31794
Phone number: 229-391-4100
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