Graham, Jacob Martin

Graham, Jacob Martin is an individual health care provider with primary practice located at 6051 U S Highway 49 , Hattiesburg MS 39401-7200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Graham, Jacob Martin can be contacted via phone (601) 288-7000.

Contact Information

Primary practice address
6051 U S Highway 49 Hattiesburg MS 39401-7200
Phone: (601) 288-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23826 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 23826 Mississippi

Profile Details

NPI number 1144517715
LBN Legal business name Graham, Jacob Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Jun 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144517715 NPPES
Alabama Other MD.33105 MEDICAL LICENSURE COMMISSION OF ALABAMA
Alabama Other 23826 MEDICAL LICENSURE COMMISSION OF ALABAMA

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