Search › Georgia › 103TC0700X
Jerry Graham, PH.D
NPI 1548329568 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1778 Century Blvd Ne Ste B
Atlanta, GA 30345 - Phone
- (404) 325-8900
- Fax
- (404) 325-8900
- Organisation at this address
- Dlwellness Llc
Healthy Mind - Full Life, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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