Individual provider · Type 1 NPI

Kelly Graham, PA-C

Surgical Physician Assistant · Atlanta, GA

NPI number 1588093157 Active

Practice location

960 Johnson Ferry Rd, Ste 100
Atlanta, GA 30342-1631

Fax (404) 252-0873

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X006982 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1588093157

Kelly Graham, PA-C's National Provider Identifier is 1588093157, issued on Nov 5, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Oct 1, 2016.