Marilyn Davidson Graves in Jackson - Pediatrics
Marilyn Davidson Graves - NPI 1316149040
Marilyn Davidson Graves is a Pediatrics in Jackson, Mississippi. Marilyn Davidson Graves practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marilyn Davidson Graves is 1316149040. The last update date is 2007-07-08.
Marilyn Davidson Graves's current location address is 4035 Oakridge Dr, Jackson, Mississippi. You can contact this provider via phone number 6018157554 and fax number 6018153226. The mailing address for Marilyn Davidson Graves is 4035 Oakridge Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Davidson Graves |
|---|---|
| Address | 4035 Oakridge Dr, Jackson, Mississippi |
| Phone Number | 6018157554 |
| Fax Number | 6018153226 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316149040 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4035 Oakridge Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392163414 |
| Phone Number | 6018157554 |
| Fax Number | 6018153226 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 5990 |
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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 |
|---|---|---|---|
| 14881 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marilyn Davidson Graves by the Centers for Medicare & Medicaid Services?
The Marilyn Davidson Graves has been assigned the NPI (National Provider Identifier) 1316149040. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marilyn Davidson Graves?
The Marilyn Davidson Graves is situated at 4035 Oakridge Dr, in the city of Jackson, state of MS, with the zip code 392163414.
What is Marilyn Davidson Graves's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marilyn Davidson Graves's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316149040 to Marilyn Davidson Graves?
The Marilyn Davidson Graves received its 1316149040 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.
When was the information pertaining to Marilyn Davidson Graves most recently updated or revised?
The details related to Marilyn Davidson Graves, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.