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Contact Information

ERIC J GRAHAM, MD
15476 DEDEAUX RD
GULFPORT, MS39503-2637
 Phone: 228-230-2663
 Fax: 228-679-3038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ERIC J GRAHAM · (Male)

NPI Number 1558462218
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 01/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 17733
  • MS Medicaid 00126157
  • MS Other P00285790 RAILROAD MEDICARE
Hospital affiliation(s)
  • GARDEN PARK MEDICAL CENTER - (Acute Care)
    15200 COMMUNITY ROAD
    GULFPORT, MS 39503
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
  • SINGING RIVER HOSPITAL - (Acute Care)
    2809 DENNY AV
    PASCAGOULA, MS 39581
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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