NPI 1689404766

Richard Graham, CPED

Practitioner Pedorthist Columbia, SC

Practice location

Address: 1671 Lake Murray Blvd, Columbia, SC 29212-8626
Phone: (803) 269-3546
Fax: (803) 407-9195

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED0707 (SC)

Other Pedorthist providers in South Carolina →

Registry record

NPI: 1689404766
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2024
Record last updated: 5 Aug 2024

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.