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Search › Georgia › 208600000X

Carliss Graham, M.D

NPI 1841441458 · on the registry since 2008

Practice

Address
80 Interstate South Dr
Suite B
Jasper, GA 30143
Phone
(678) 454-3306
Fax
(706) 253-2431
Organisation at this address
Northside Surgical Associate
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-15

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