IndividualActive
Richard Graham, C.PED
NPI 1689404766 · Pedorthist · Columbia, SC
Provider details
- NPI number
- 1689404766
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.PED
- Sex
- Male
- Sole proprietor
- No
- License
- CPED0707 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1671 Lake Murray Blvd
Columbia, SC 29212-8626
Phone: (803) 269-3546
Fax: (803) 407-9195
Approximate (ZIP-level) locationGet directions
Mailing address
1671 Lake Murray Blvd
Columbia, SC 29212-8626
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.