Graham, James Matthew

Graham, James Matthew is an individual health care provider with primary practice located at 5 Medical Park Dr Ste 200 , Benton AR 72015-3732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Graham, James Matthew can be contacted via phone (501) 776-3800.

Contact Information

Primary practice address
5 Medical Park Dr Ste 200 Benton AR 72015-3732
Phone: (501) 776-3800
Fax: (501) 776-2209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E-9179 Arkansas

Profile Details

NPI number 1437448594
LBN Legal business name Graham, James Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Feb 13th, 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 1437448594 NPPES
Arkansas MEDICAID 210678001

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