Provider Demographics
NPI:1790706554
Name:HOWES GRAHAM, LINDA MERRILL (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MERRILL
Last Name:HOWES GRAHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HOWES MORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4715 B MARKET STREET
Mailing Address - Street 2:PAI-LINDA HOWES GRAHAM MD
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3423
Mailing Address - Country:US
Mailing Address - Phone:910-799-5222
Mailing Address - Fax:910-799-5020
Practice Address - Street 1:4715 B MARKET STREET
Practice Address - Street 2:LINDA HOWES GRAHAM MD
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3423
Practice Address - Country:US
Practice Address - Phone:910-799-5222
Practice Address - Fax:910-799-5020
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2004012802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89138HRMedicaid
NC2035257AMedicare UPIN