Pamela Dianne Graham in Jackson - Internal Medicine

Pamela Dianne Graham - NPI 1285650796

Pamela Dianne Graham is a Internal Medicine in Jackson, Mississippi. Pamela Dianne Graham practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Pamela Dianne Graham is 1285650796. The last update date is 2007-07-08.

Pamela Dianne Graham's current location address is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6073624471 and fax number 6013641278. The mailing address for Pamela Dianne Graham is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela Dianne Graham
Address 1500 E Woodrow Wilson Ave, Jackson, Mississippi
Phone Number 6073624471
Fax Number 6013641278
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1285650796
Provider Enumeration Date 2006-07-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1500 E Woodrow Wilson Ave
City Jackson
State Mississippi (MS)
Post Code 392165116
Phone Number 6073624471
Fax Number 6013641278

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 16511
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Pamela Dianne Graham

What is the unique 10-digit identifier code assigned to Pamela Dianne Graham by the Centers for Medicare & Medicaid Services?

The Pamela Dianne Graham has been issued the NPI (National Provider Identifier) 1285650796 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Pamela Dianne Graham's facilities are geographically located?

The facilities of Pamela Dianne Graham are physically situated at the following location: 1500 E Woodrow Wilson Ave, Jackson, MS, 392165116.

What is Pamela Dianne Graham's specialized field of practice, and what is the corresponding taxonomy classification code?

The Pamela Dianne Graham's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did Pamela Dianne Graham receive its 1285650796 assignment from the Centers for Medicare & Medicaid Services?

The Pamela Dianne Graham was assigned its 1285650796 on 2006-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Pamela Dianne Graham most recently updated or revised?

The information pertaining to Pamela Dianne Graham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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