NPI
Renita Constance Graham
NPI 1295832509
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- RD
- Type
- Individual
- Enumeration date
- 2006-09-20
- Last updated
- 2007-07-08
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Specialties
Licenses
- License GA
- LD002557
Location
- Practice location
- 4500 Stuart St, Moncrief Army Community Hosptial, Attn: Mcxl-Pq
- City
- Fort Jackson SC
- Postal code
- 29207-5720
- Phone
- (803) 751-2618
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fort Jackson, SC. 45 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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