Graham, Samuel Leroy

Graham, Samuel Leroy is an sole proprietor health care provider with primary practice located at 14115 Fred And Al Key Rd , Kiln MS 39556-8060. He recently has 2 registered licenses in different health care specialties including Hospitals / Military Hospital, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Graham, Samuel Leroy can be contacted via phone (228) 466-1035.

Contact Information

Primary practice address
14115 Fred And Al Key Rd Kiln MS 39556-8060
Phone: (228) 466-1035
Fax: (228) 466-8962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Military Hospital 286500000X
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1932360815
LBN Legal business name Graham, Samuel Leroy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2008
Last updated Mar 16th, 2011 - about 15 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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