Fitzroy Henry Graham in Woodstock - Pediatrics
Fitzroy Henry Graham - NPI 1538120092
Fitzroy Henry Graham is a Pediatrics in Woodstock, Georgia. Fitzroy Henry Graham practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Fitzroy Henry Graham is 1538120092. The last update date is 2021-02-18.
Fitzroy Henry Graham's current location address is 105 Mirramont Lake Dr, Woodstock, Georgia. You can contact this provider via phone number 7704859670 and fax number 6784017658. The mailing address for Fitzroy Henry Graham is 105 Mirramont Lake Dr, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fitzroy Henry Graham |
|---|---|
| Address | 105 Mirramont Lake Dr, Woodstock, Georgia |
| Phone Number | 7704859670 |
| Fax Number | 6784017658 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538120092 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
| Address | 105 Mirramont Lake Dr |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301898214 |
| Phone Number | 7704859670 |
| Fax Number | 6784017658 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 48780 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000919663B | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Fitzroy Henry Graham by the Centers for Medicare & Medicaid Services (CMS)?
The Fitzroy Henry Graham has been assigned the NPI (National Provider Identifier) 1538120092. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Fitzroy Henry Graham located?
The Fitzroy Henry Graham is located at 105 Mirramont Lake Dr, Woodstock, GA 301898214.
What is Fitzroy Henry Graham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fitzroy Henry Graham's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Fitzroy Henry Graham receive the assignment of its 1538120092 from the Centers for Medicare & Medicaid Services?
The Fitzroy Henry Graham was issued its 1538120092 by the Centers for Medicare & Medicaid Services on 2006-03-31.
As of what date was the information regarding Fitzroy Henry Graham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fitzroy Henry Graham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-02-18.