Individual
DR. ERROL G GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 E TOLLISON ST STE C, BAXLEY, GA 31513-0150
(912) 367-4122
(912) 367-4136
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110148141
RAILROAD MEDICARE
—
05
—
11BDLZL
—
GA
Enumeration date
08/24/2005
Last updated
04/29/2020
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