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DR. ONA GRAHAM, PC

Clinical Neuropsychologist

Columbus, Georgia

Provider NPI: 1952583106

Organization Information:
Organization Name:  DR. ONA GRAHAM, PC
Organization is not Subpart
Authorized Official:  ONA  GRAHAM  OWNER/PRESIDENT  706-3172163

Practice Location:
1443 17TH ST  COLUMBUS, GA 31901 US
Tel: 706-317-2163  Fax: 706-317-2176

Business Mailing Address:
1443 17TH ST  COLUMBUS, GA 31901 US
Tel: 706-317-2163  Fax: 706-317-2176

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
GAPSY001682

Other Provider Identifiers:

IssuerNumberStateType
00897124BGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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