| Mr Damon Graham Jr, LCSW | |
|
635 Myron Hart Rd, Coolidge, GA 31738-2143 | |
| (229) 224-0655 | |
| (229) 941-5865 |
| Full Name | Mr Damon Graham Jr |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 635 Myron Hart Rd, Coolidge, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831545474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005767 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christopher Dennis Md Pllc | 7416254990 | 59 |
| Entity Name | Christopher Dennis Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588090229 PECOS PAC ID: 7416254990 Enrollment ID: O20190327002643 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Damon Graham Jr, LCSW 635 Myron Hart Rd, Coolidge, GA 31738-2143 Ph: (229) 224-0655 | Mr Damon Graham Jr, LCSW 635 Myron Hart Rd, Coolidge, GA 31738-2143 Ph: (229) 224-0655 |
Amanda Gandy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 327 Carnell Rd, Coolidge, GA 31738 Phone: 229-224-1009 | |
Mrs. Tamara A Iacampo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7363 Hall Road, Coolidge, GA 31773 Phone: 229-228-5192 Fax: 229-228-5139 | |
Mr. John Carl Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7363 Hall Rd, Coolidge, GA 31738 Phone: 229-228-5192 Fax: 229-228-5139 |