Graham, Ronald Arly

Graham, Ronald Arly is an individual health care provider with primary practice located at 15190 Community Rd #360, Gulfport MS 39503-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Graham, Ronald Arly can be contacted via phone (228) 539-1771.

Contact Information

Primary practice address
15190 Community Rd #360 Gulfport MS 39503-2008
Phone: (228) 539-1771
Fax: (228) 539-1773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 08736 Mississippi

Profile Details

NPI number 1760531982
LBN Legal business name Graham, Ronald Arly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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 1760531982 NPPES
Mississippi MEDICAID 00124410

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