Provider Demographics
NPI:1558724344
Name:GRAF, CHYRIL (LMT)
Entity Type:Individual
Prefix:
First Name:CHYRIL
Middle Name:
Last Name:GRAF
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W STATE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-6301
Mailing Address - Country:US
Mailing Address - Phone:828-664-0109
Mailing Address - Fax:
Practice Address - Street 1:601 W STATE ST STE 3
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-6301
Practice Address - Country:US
Practice Address - Phone:828-664-0109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12560174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist