Individual
DR. IAN R GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY COUNTY MEDICAL CENTER, 301 TYSON AVENUE, PARIS, TN 38424
(731) 644-8535
(731) 642-9588
Mailing address
PO BOX 2153 DEPT 30755, BIRMINGHAM, AL 35287-9283
(314) 238-5260
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036107429
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2002015742
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205942303
—
MO
01
—
300133434
RAILROAD MEDICARE NUMBER
—
Enumeration date
07/14/2006
Last updated
10/29/2020
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