Individual
FITZROY HENRY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 MIRRAMONT LAKE DR STE 100, WOODSTOCK, GA 30189-8214
(770) 485-9670
(678) 401-7658
Mailing address
105 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8214
(770) 485-9670
(678) 401-7658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
048780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000919663B
—
GA
Enumeration date
03/31/2006
Last updated
02/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us