Provider Demographics
NPI:1598737207
Name:MEYER, GRAHAM SCOTT (MD FACEP FAAEM)
Entity Type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:SCOTT
Last Name:MEYER
Suffix:
Gender:M
Credentials:MD FACEP FAAEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 RAEFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5115
Mailing Address - Country:US
Mailing Address - Phone:910-584-6909
Mailing Address - Fax:910-484-6742
Practice Address - Street 1:104 ADAIR DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-4516
Practice Address - Country:US
Practice Address - Phone:919-648-4435
Practice Address - Fax:910-267-8932
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500405207P00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC50151 NMedicare UPIN