Jennifer Lynn Graham (NPI# 1285768291, PAC ID# 6406983857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285768291 |
| PAC ID by PECOS | 6406983857 |
| Professional Enrollment ID | I20100416000412 |
| Full Name | Jennifer Lynn Graham |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL INC |
| Address |
24420 Marlboro St Wagram NC 28396-9600 |
| Phone Number | 9103693136 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648208504 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1638 Owen Dr, Fayetteville, NC 28304-3424 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC | |
| 588 Bailey Rd, Suite K, Lumberton, NC 28358-2470 | 9107398899 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| 24420 Marlboro St, Wagram, NC 28396-9600 | 9103693136 | SCOTLAND MEMORIAL HOSPITAL INC |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruby Apolinario Geronimo | Nurse Practitioner | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Adam D Clark | Physician Assistant | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Charles Rodney Lenahan | Urology | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Michael T Lake | General Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Matthew Brian Thompson | Nurse Practitioner | Scotland Memorial Hospital Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Timothy Joseph Vreeland | General Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Sean Kearney | Orthopedic Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Joel A Berman | Vascular Surgery | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Ashleigh Johnson Freeman | Family Practice | Scotland Memorial Hospital Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Terreasa L Farmer | Certified Registered Nurse Anesthetist | Scotland Memorial Hospital Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Street Address |
24420 MARLBORO ST |
| City | WAGRAM |
| State | NC |
| Zip | 28396-9600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Reno Weber | Physician Assistant | Scotland Memorial Hospital, Inc | 24420 Marlboro St, Wagram, NC 28396-9600 |
| Matthew Thomas Manzo | Family Medicine | Scotland Memorial Hospital, Inc | 24420 Marlboro St, Wagram, NC 28396-9600 |
| City | WAGRAM |
| Zip Code | 28396 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WAGRAM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Lynn Graham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.