Individual
DR. VIRGIL LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, DEPT OF OBGYN, LARGO, MD 20774-5374
(301) 618-5578
(301) 618-5673
Mailing address
1715 MALLARD CT, UPPER MARLBORO, MD 20774-7053
(301) 221-3998
(301) 618-5673
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D53099
MD
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD30787
DC
Other
Enumeration date
11/13/2006
Last updated
08/21/2007
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