Graham, Heath Ross

Graham, Heath Ross is an individual health care provider with primary practice located at 4800 Olde Towne Pkwy Suite 150, Marietta GA 30068-4357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Graham, Heath Ross can be contacted via phone (770) 977-1510.

Contact Information

Primary practice address
4800 Olde Towne Pkwy Suite 150 Marietta GA 30068-4357
Phone: (770) 977-1510
Fax: (770) 509-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 047087 Georgia

Profile Details

NPI number 1104828698
LBN Legal business name Graham, Heath Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 23rd, 2017 - about 8 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 1104828698 NPPES
Georgia MEDICAID 000828484H
Georgia MEDICAID 000828484G
Georgia MEDICAID 000828484B

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