Individual
DR. HEATH ROSS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 OLDE TOWNE PKWY, SUITE 150, MARIETTA, GA 30068-4357
(770) 977-1510
(770) 509-8858
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
047087
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000828484B
—
GA
05
—
000828484G
—
GA
05
—
000828484H
—
GA
Enumeration date
08/15/2005
Last updated
03/23/2017
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