Alvan Leon Graham Jr. (NPI# 1083698146, PAC ID# 9537145974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1083698146 |
PAC ID by PECOS | 9537145974 |
Professional Enrollment ID | I20051114000553 |
Full Name | Alvan Leon Graham Jr. |
Address |
5377 Hwy 136 Trenton GA 30752-2900 |
Phone Number | 7066577559 |
Gender | M |
Credential | OD |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1978 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5377 Hwy 136, Trenton, GA 30752-2900 | 7066577559 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
5377 HWY 136 |
City | TRENTON |
State | GA |
Zip | 30752-2900 |
Name | Specialty | Organization | Address |
---|---|---|---|
June Elaine Hanks | Physical Therapy | Trenton Physical Therapy | 12415 N Main St, Suite 1, Trenton, GA 30752 |
George Reed | Physical Therapy | Trenton Physical Therapy | 12415 N Main St, Suite 1, Trenton, GA 30752 |
Tamela Jordan | Physical Therapy | Trenton Physical Therapy | 12415 N Main St, Trenton, GA 30752 |
James Durham | Chiropractic | 12605 N Main St, Trenton, GA 30752-0759 | |
Michael Robert Mccoy | Internal Medicine | Primary Health Care Center of Dade, Inc. | 13570 N Main St, Trenton, GA 30752-2012 |
Alfred Lua | Internal Medicine | Primary Health Care Center of Dade, Inc. | 13570 N Main St, Trenton, GA 30752-2012 |
Holly Brooke Nelson | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 5395 Hwy 136, Trenton, GA 30752-2900 |
Charles A Mcdill | Chiropractic | 4580 Hwy 136, Trenton, GA 30752-2909 | |
Elizabeth P Welch | Qualified Audiologist | Hearing Services of Franklin, LLC | 12136 S Main St, Hear Tn, Trenton, GA 30752-5151 |
City | TRENTON |
Zip Code | 30752 |
Specialty | OPTOMETRY |
City + Specialty | TRENTON + OPTOMETRY |
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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.