Individual
JAMES L GRAHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Mailing address
2225 US HWY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00451624D
—
GA
Enumeration date
05/31/2005
Last updated
04/07/2021
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