NPI 1003562554

Susannah Graham, PAC

Practitioner Physician Assistant Florence, SC

Practice location

Address: 805 Pamplico Hwy, Florence, SC 29505-6047
Phone: (843) 792-1414
Mailing address: PO Box 935722, Atlanta, GA 31193-5722

Registered specialties (4)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4342 (SC)

Other Physician Assistant providers in South Carolina →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Registry record

NPI: 1003562554
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2022
Record last updated: 21 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.