Dr Douglas M Graydon, DDS is a
Dentist - General Practice based in Chickamauga, Georgia. Dr Douglas M Graydon is licensed to practice in Georgia (license number 8054) and his current practice location is
107 Gordon St, Chickamauga, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 375-3621.
NPI number for Dr Douglas M Graydon is 1073548707 and his current mailing address is Po Box 369, Chickamauga, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073548707.
Healthcare Provider's Profile
| Full Name | Dr Douglas M Graydon |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 107 Gordon St, Chickamauga, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073548707
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Douglas M Graydon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073548707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 8054 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas M Graydon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Douglas M Graydon, DDS
Po Box 369,
Chickamauga, GA 30707-0369
Ph: (706) 375-3621 | Dr Douglas M Graydon, DDS
107 Gordon St,
Chickamauga, GA 30707-1454
Ph: (706) 375-3621 |
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