Jed A Graham (NPI# 1417972548, PAC ID# 6800790916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1417972548 |
PAC ID by PECOS | 6800790916 |
Professional Enrollment ID | I20031120000872 |
Full Name | Jed A Graham |
Organization Legal Name | GREENWOOD FAMILY PRACTICE, INC. |
Address |
805 Montague Ave Suite A Greenwood SC 29649-1464 |
Phone Number | 8642236621 |
Gender | M |
Credential | MD |
Graduation Year | 1999 |
Primary Specialty | FAMILY PRACTICE |
Secondary Specialties | GENERAL PRACTICE |
Group Practice PAC ID | 1658275763 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
805 Montague Ave, Suite A, Greenwood, SC 29649-1464 | 8642236621 | GREENWOOD FAMILY PRACTICE, INC. |
805 Montague Ave, Greenwood, SC 29649-1464 | 8642236621 | GREENWOOD FAMILY PRACTICE, INC. |
Organization Legal Name | GREENWOOD FAMILY PRACTICE, INC. |
Physicians | 1 |
Street Address |
805 MONTAGUE AVE SUITE A |
City | GREENWOOD |
State | SC |
Zip | 29649-1464 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert M Smith | Family Medicine | 805 Montague Ave, Suite A, Greenwood, SC 29649-1464 | |
Asa Q Hatfield | Family Practice | 805 Montague Ave, Suite A, Greenwood, SC 29649-1464 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Morshed Maseha | Optometry | Clark Optometric Center of Sc - Pa | 853 Bypass 72 Nw, Greenwood, SC 29649-1203 |
Sherri Christine Rast | Optometry | Clark Optometric Center of Sc - Pa | 853 Bypass 72 Nw, Greenwood, SC 29649-1203 |
Lauren Dallas Rigsby | Optometry | Clark Optometric Center of Sc - Pa | 853 Bypass 72 Nw, Greenwood, SC 29649-1203 |
Jason E Gosnell | Family Medicine | Woodruff Road Urgent Care Center PC | 474 Bypass 72 Nw, Suite B, Greenwood, SC 29649-1404 |
Charles Harvey Weston Jr. | Chiropractic | 712 B Montague Ave, Greenwood, SC 29649-1439 | |
Jennifer R Lippens | Optometry | 711 Montague Ave, Greenwood, SC 29649-1440 | |
Keith O Plowden | Nurse Practitioner | 210 A Birchtree Dr, Greenwood, SC 29649-1502 | |
John Vincent Maylock | Family Medicine | Self Medical Group | 1228 Hwy 72 W, Greenwood, SC 29649-1816 |
John Mark Ergle | Family Medicine | Self Medical Group | 1228 Hwy 72 W, Greenwood, SC 29649-1816 |
Sarah A Derrick | Nurse Practitioner | Self Medical Group | 1228 Hwy 72 W, Greenwood, SC 29649-1816 |
Find all physicians in zip 29649 |
City | GREENWOOD |
Zip Code | 29649 |
Specialty | FAMILY PRACTICE |
City + Specialty | GREENWOOD + FAMILY PRACTICE |
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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.