Graham, Eric J

Graham, Eric J is an individual health care provider with primary practice located at 15476 Dedeaux Rd , Gulfport MS 39503-2637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Graham, Eric J can be contacted via phone (228) 230-2663.

Contact Information

Primary practice address
15476 Dedeaux Rd Gulfport MS 39503-2637
Phone: (228) 230-2663
Fax: (228) 679-3038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17733 Mississippi
Other Service Providers / Specialist 174400000X 17733 Mississippi

Profile Details

NPI number 1558462218
LBN Legal business name Graham, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558462218 NPPES
Mississippi MEDICAID 00126157
Mississippi Other P00285790

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