Whalio Doctors

NPI 1841441458

Carliss Christopher Graham, MD

Practitioner Surgery Physician Jasper, GA

Practice location

Address
80 Interstate South Dr Suite B, Jasper, GA 30143-6226
Phone
(678) 454-3306
Fax
(706) 253-2431

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 063782 (GA)

Registry record

NPI
1841441458
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Oct 2008
Record last updated
15 Mar 2018

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.