Samuel Leroy Graham
Samuel Leroy Graham is a Military Hospital in Kiln, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
14115 Fred And Al Key RDKiln, MS 39556-8060
Phone: (228) 466-1035
Fax: (228) 466-8962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|---|
| Military Hospital | Taxonomy 286500000X |
Record details
| NPI number | 1932360815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2008 |
| Last updated in NPPES | March 16, 2011 |