Individual
DR. DONALD GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55 GRANADE ST, STATESBORO, GA 30458-5106
(912) 871-7777
(912) 871-7172
Mailing address
55 GRANADE ST STE 401, STATESBORO, GA 30458-5106
(912) 871-7777
(912) 871-7172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
057629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497907935
BILLNG NPI ENUMERATOR
GA
Enumeration date
08/27/2006
Last updated
07/28/2026
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