Graham, Gregory Martin
Graham, Gregory Martin is an sole proprietor health care provider with primary practice located at 385 Meadow Ridge Dr. , Milledgeville GA 31061. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Graham, Gregory Martin can be contacted via phone (478) 452-0270.Contact Information
Primary practice address
385 Meadow Ridge Dr.
Milledgeville GA 31061
Phone: (478) 452-0270
Fax: (478) 454-1068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN010029 | Georgia |
Profile Details
| NPI number | 1558423178 |
|---|---|
| LBN Legal business name | Graham, Gregory Martin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558423178 | NPPES |
| Georgia | MEDICAID | 00289341B |
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