Leroy M Graham
Pediatric Pulmonologist
1100 Lake Hearn Dr Ste 450
Atlanta
, Georgia 30342
Leroy M Graham
Pediatric Pulmonologist
1100 Lake Hearn Dr Ste 450
Atlanta
, Georgia 30342
(404) 257-0337
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Leroy M Graham
- 1100 Lake Hearn Dr Ste 450
- Atlanta, GA
- Zip : 30342
- Fax : (404) 257-0337
- Phone : (404) 252-7339
Second Address
- Leroy M Graham
- 1100 Lake Hearn Dr Ste 450
- Atlanta, GA
- Zip : 30342
- Fax : (404) 257-0337
- Phone : (404) 252-7339
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 036758 | GA |
National Provider Identifier
| NPI | 1063452001 |
|---|---|
| Provider Name | Leroy M Graham |
| First Address | Atlanta, GA 30342 |
| Second Address | Atlanta, GA 30342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E90371 | (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.