John Mckay Graham Jr., MD
Orthopaedic Surgery, Sports Medicine in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1790710093
StatusActive
Last updated in NPPESJan 21, 2025
Details
- NPI
- 1790710093
- Entity type
- Individual (NPI-1)
- Name
- John Mckay Graham Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Certification date
- Jan 21, 2025
- Last updated
- Jan 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 12856 | SC | Yes |
| 207RS0010X | Internal Medicine, Sports Medicine | 12856 | SC | |
| 207X00000X | Orthopaedic Surgery | 12856 | SC |
Practice location
594 Lone Tree Dr Bldg 6Mt Pleasant, SC 29464-8170
Phone 843-958-2500 · Fax 843-958-2680
Mailing address
Po Box 751649Charlotte, NC 28275-1649
Phone 888-472-0043 · Fax 843-724-2440
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