Leroy M Graham, MD
Pediatrics, Pediatric Pulmonology in Atlanta, GA. Individual provider (NPI-1).
NPI number1063452001
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063452001
- Entity type
- Individual (NPI-1)
- Name
- Leroy M Graham
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0214X | Pediatrics, Pediatric Pulmonology | 036758 | GA | Yes |
Practice location
1100 Lake Hearn DrSte 450
Atlanta, GA 30342
Phone 404-252-7339 · Fax 404-257-0337
Mailing address
1100 Lake Hearn DrSte 450
Atlanta, GA 30342
Phone 404-252-7339 · Fax 404-257-0337
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