| Lifespan Incorporated | |
|
1247 Jimmie Kerr Rd Graham NC 27253-8597 | |
| (336) 578-2002 | |
| Not Available |
| Full Name | Lifespan Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1247 Jimmie Kerr Rd, Graham, North Carolina |
| Authorized Official Name and Position | Robin Devore (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7049445100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Incorporated 1511 Shopton Rd Charlotte NC 28217-3239 Ph: (704) 944-5100 | Lifespan Incorporated 1247 Jimmie Kerr Rd Graham NC 27253-8597 Ph: (336) 578-2002 |
| NPI Number | 1669345765 |
|---|---|
| Provider Enumeration Date | 09/25/2025 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669345765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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