Samuel Leroy Graham in Kiln - Independent Duty Corpsman
Samuel Leroy Graham - NPI 1932360815
Samuel Leroy Graham is a Independent Duty Corpsman in Kiln, Mississippi. Samuel Leroy Graham practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Samuel Leroy Graham is 1932360815. The last update date is 2011-03-16.
Samuel Leroy Graham's current location address is 14115 Fred And Al Key Rd, Kiln, Mississippi. You can contact this provider via phone number 2284661035 and fax number 2284668962. The mailing address for Samuel Leroy Graham is 14115 Fred And Al Key Rd, Kiln, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Leroy Graham |
|---|---|
| Address | 14115 Fred And Al Key Rd, Kiln, Mississippi |
| Phone Number | 2284661035 |
| Fax Number | 2284668962 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1932360815 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2011-03-16 |
Provider Mailing Address Detail
| Address | 14115 Fred And Al Key Rd |
|---|---|
| City | Kiln |
| State | Mississippi (MS) |
| Post Code | 395568060 |
| Phone Number | 2284661035 |
| Fax Number | 2284668962 |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
|
Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Samuel Leroy Graham by the Centers for Medicare & Medicaid Services?
The Samuel Leroy Graham has been assigned the NPI (National Provider Identifier) 1932360815 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Samuel Leroy Graham?
The Samuel Leroy Graham is situated at 14115 Fred And Al Key Rd, in the city of Kiln, state of MS, with the zip code 395568060.
What is Samuel Leroy Graham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Samuel Leroy Graham is Independent Duty Corpsman, and the corresponding taxonomy classification code for this specialized field is 1710I1002X.
On what date was the 1932360815 assigned to Samuel Leroy Graham?
The Samuel Leroy Graham was issued its 1932360815 on 2008-06-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Samuel Leroy Graham most recently updated?
The details pertaining to the Samuel Leroy Graham, including its address, specialty, and other relevant information, were last refreshed on 2011-03-16.