Graham, Ronald Arly
Graham, Ronald Arly is an individual health care provider with primary practice located at 15190 Community Rd #360, Gulfport MS 39503-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Graham, Ronald Arly can be contacted via phone (228) 539-1771.Contact Information
Primary practice address
15190 Community Rd #360
Gulfport MS 39503-2008
Phone: (228) 539-1771
Fax: (228) 539-1773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 08736 | Mississippi |
Profile Details
| NPI number | 1760531982 |
|---|---|
| LBN Legal business name | Graham, Ronald Arly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 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 | 1760531982 | NPPES |
| Mississippi | MEDICAID | 00124410 |
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