Individual
MRS. CAROLINE SMITH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-4546
Mailing address
1542 TULANE AVE, DEPARTMENT OF SURGERY, NEW ORLEANS, LA 70112-2865
(504) 568-4752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200858
LA
Other
Enumeration date
07/30/2015
Last updated
02/11/2019
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