Dr. Homer Devon Graham III
Facial Plastic Surgeon
1514 Jefferson Hwy
New Orleans
, Louisiana 70121-2429
Dr. Homer Devon Graham III
Facial Plastic Surgeon
1514 Jefferson Hwy
New Orleans
, Louisiana 70121-2429
(504) 842-4000
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Homer Devon Graham III
- 1514 Jefferson Hwy
- New Orleans, LA
- Zip : 70121-2429
- Phone : (504) 842-4000
Second Address
- Dr. Homer Devon Graham III
- 1514 Jefferson Hwy
- New Orleans, LA
- Zip : 70121-2429
- Phone : (504) 842-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | MD.017680 | LA |
National Provider Identifier
| NPI | 1275591877 |
|---|---|
| Provider Name | Dr. Homer Devon Graham III |
| First Address | New Orleans, LA 70121-2429 |
| Second Address | New Orleans, LA 70121-2429 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1900320 | (05) | LA |
| E33849 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.