Wilson Graham

NPI 1003742156 · on the registry since 2026

Practice

Address: 3480 Keith Bridge Rd Ste C2
Cumming, GA 30041
Phone: (678) 455-8773
Fax: (678) 455-8775
Organisation at this address: Publix Super Markets Inc
Lanier Family Eyecare Llc
Independent Physical Therapy Of Ga, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia