Provider Demographics
NPI:1063501898
Name:MYERS, PATRICIA GRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:GRAHAM
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:CRIM
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1941 SAVAGE RD
Mailing Address - Street 2:SUITE 100E
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4704
Mailing Address - Country:US
Mailing Address - Phone:843-735-5320
Mailing Address - Fax:843-735-5931
Practice Address - Street 1:1941 SAVAGE RD
Practice Address - Street 2:SUITE 100E
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4704
Practice Address - Country:US
Practice Address - Phone:843-735-5320
Practice Address - Fax:843-735-5931
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL290342084N0400X
FLME1099612084N0400X
SC290342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology