Organization
DAVID GRAHAM M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE J WALTZ (PROVIDER ENROLLMENT CONSULTANT)
(615) 567-7869
Entity
Organization
Contact information
Practice address
319 HOSPITAL DR, STE 208, MARTINSVILLE, VA 24112-1929
(276) 656-2103
Mailing address
319 HOSPITAL DR, STE 208, MARTINSVILLE, VA 24112-1929
(276) 656-2103
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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