Individual
DR. PAMELA DIANNE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(607) 362-4471
(601) 364-1278
Mailing address
698 CLARA FOOTE RD, BRAXTON, MS 39044-9706
(601) 362-4471
(601) 364-1278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16511
MS
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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