MARISA ROSE GRAHAM

COLUMBIA, SC
NPI1194939199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  1154)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-01328)
Enumeration Date2007-05-09
Last Update Date2016-04-22
Business Address
MARISA ROSE GRAHAM PA-C
1818 HENDERSON ST
COLUMBIA, SC 29201-2619
Phone number: 803-758-2602
Mailing Address
MARISA ROSE GRAHAM PA-C
743 FOLLY RD
CHARLESTON, SC 29412-3432
Phone number: 828-762-2360