Individual
ERIK GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 S 28TH AVE, HATTIESBURG, MS 39402-2601
(601) 268-3333
(601) 268-6666
Mailing address
800 S 28TH AVE, HATTIESBURG, MS 39402-2601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
321702
MS
Other
Enumeration date
08/21/2006
Last updated
09/26/2013
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