Individual
DR. STEPHEN GRAVES FROMANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5582
Mailing address
106 MEADOW PARK DR, CANTON, MS 39046-6027
(954) 253-8745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T2314
MS
Other
Enumeration date
06/25/2009
Last updated
07/01/2010
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