Individual
BELINDA KAYE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4480 N COOPER LAKE RD SE STE 101, SMYRNA, GA 30082-4623
(770) 333-2027
(770) 333-2031
Mailing address
4480 N. COOPER LAKE RD SE, STE 101, SMYRNA, GA 30082
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
74822
GA
207K00000X
Allergy & Immunology Physician
P0726
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1180658
—
GA
Enumeration date
06/06/2007
Last updated
06/26/2017
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