Southerland, David Graham
Southerland, David Graham is an sole proprietor health care provider with primary practice located at Bldg 148, Trout Ave , Groton CT 06349-5900. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Southerland, David Graham can be contacted via phone (860) 694-3263.Contact Information
Primary practice address
Bldg 148, Trout Ave
Groton CT 06349-5900
Phone: (860) 694-3263
Fax: (860) 694-4809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 10023 | Mississippi |
Profile Details
| NPI number | 1932260965 |
|---|---|
| LBN Legal business name | Southerland, David Graham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| 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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