Individual
DR. GREGORY MARTIN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
385 MEADOW RIDGE DR., MILLEDGEVILLE, GA 31061
(478) 452-0270
(478) 454-1068
Mailing address
385 MEADOW RIDGE DR., MILLEDGEVILLE, GA 31061
(478) 452-0270
(478) 454-1068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00289341B
—
GA
Enumeration date
12/14/2006
Last updated
07/09/2007
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