Individual
DR. GORDON D GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22198
TN
207UN0901X
Nuclear Cardiology Physician
22198
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066351
—
TN
Enumeration date
07/18/2005
Last updated
05/02/2013
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