Provider Demographics
NPI:1962537159
Name:GRAHAM, YOLANDA PATRICE (MD)
Entity type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:PATRICE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1607 HARBIN RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-3737
Mailing Address - Country:US
Mailing Address - Phone:404-909-9052
Mailing Address - Fax:770-427-7882
Practice Address - Street 1:1291 STANLEY RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-4359
Practice Address - Country:US
Practice Address - Phone:770-427-0147
Practice Address - Fax:770-427-7882
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2016-07-26
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Provider Licenses
StateLicense IDTaxonomies
GA0380012084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry