Individual
MICKEY GRAPHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8888 SUMMA AVE, BATON ROUGE, LA 70809-3772
(225) 769-4493
Mailing address
8888 SUMMA AVE, BATON ROUGE, LA 70809-3772
(225) 769-4493
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
125.072356
IL
2086S0129X
Vascular Surgery Physician
Primary
338178
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
12/06/2023
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