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Individual

DR. SCOTT JAMES GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-6118
Mailing address
PO BOX 1295, BLUEFIELD, WV 24701-1295
(304) 323-4320

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
0101049053
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101049053
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010290519
VA
01
P00353389
RAILROAD MEDICARE
Enumeration date
01/26/2006
Last updated
11/21/2017
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