Individual
DR. GEORGIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0294
(352) 273-7943
(352) 392-5096
Mailing address
1600 SW ARCHER RD, PO BOX 100294, GAINESVILLE, FL 32610-0294
(352) 273-7943
(352) 392-5096
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME141423
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103615300
—
FL
Enumeration date
06/08/2015
Last updated
01/16/2020
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