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Contact Information

OCTAVIA L GRAHAM, MD
9475 US-19
ZEBULON, GA30295
 Phone: 404-321-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for OCTAVIA L GRAHAM · (Female)

NPI Number 1134581549
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2016
Last updated 01/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 008710
  • TN License # 59410
Hospital affiliation(s)
  • MARSHALL MEDICAL CENTER - (Critical Access)
    1080 NORTH ELLINGTON PARKWAY
    LEWISBURG, TN 37091
  • MAURY REGIONAL HOSPITAL - (Acute Care)
    1224 TROTWOOD AVE
    COLUMBIA, TN 38401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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