DEXTER GRAHAM (NPI# 1851759690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851759690 |
| Entity Type | Individual |
| Full Name | DEXTER GRAHAM |
| Practice Address |
513 2nd Ave Kingstree SC 29556-2913 |
| Practice Telephone | 8434018423 |
| Practice Fax Number | 8433547985 |
| Mailing Telephone | 8434018423 |
| Mailing Fax Number | 8433547985 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
G116035 | SC | Other Service Providers |
| Street Address |
513 2ND AVE |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891153193 | The D Graham Group LLC | Contractor | 513 2nd Ave, Kingstree, SC 29556-2913 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| Find all providers in zip 29556 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891153193 | The D Graham Group LLC | Contractor | 513 2nd Ave, Kingstree, SC 29556-2913 | 2016-02-02 |
| 1386058360 | Darrell Brown | Contractor | 28 Deer Dr, Kingstree, SC 29556-3155 | 2014-06-17 |
| 1780040162 | Brown Enterprises | Contractor | 28 Deer Dr, Kingstree, SC 29556-3155 | 2016-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598390288 | Epps Maintenance | Contractor | 319 Outing Club Rd, Aiken, SC 29801-8689 | 2020-03-03 |
| 1902366701 | Clarissa Graham | Contractor | 8106 Flintwood Ct, North Charleston, SC 29406-9435 | 2019-03-20 |
| 1770030512 | Allen Adgerson | Contractor | 1421 Hidden Valley Dr, Orangeburg, SC 29118-2014 | 2016-09-09 |
| 1609321983 | J&j Repair | Contractor | 2503 Dunbar Rd, Georgetown, SC 29440-2045 | 2016-08-17 |
| 1417315052 | Sean Kershaw | Contractor | 1232 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4186 | 2016-02-09 |
| 1326438565 | Revekeo Scott | Contractor | 908 Friarsgate Blvd, Irmo, SC 29063-2774 | 2015-01-26 |
| 1891193637 | Clarice Mitchell | Contractor | 1453 Battery Park Rd, Nesmith, SC 29580-3058 | 2014-12-10 |
| 1477858496 | David Grove | Contractor | 1714 Lakeland Trl, Tega Cay, SC 29708-8378 | 2011-01-23 |
| 1669708731 | Ronald Byrd Jr. | Contractor | 2214 Wallace St, Columbia, SC 29201-1942 | 2009-10-26 |
| 1932661048 | Affordable Renovationz, LLC | Contractor | 8106 Flintwood Ct, North Charleston, SC 29406-9435 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.