NPI 1982574562

Paul Everett Graham

Practitioner Dietary Manager Fairburn, GA

Practice location

Address: 303 Senoia Rd, Fairburn, GA 30213-1653
Phone: (770) 896-2053

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Registry record

NPI: 1982574562
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2025
Record last updated: 7 Nov 2025

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.