Dr Jacob Martin Graham, MD | |
6051 U S Highway 49, Hattiesburg, MS 39401-7200 | |
(601) 288-7000 | |
Not Available |
Full Name | Dr Jacob Martin Graham |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 6051 U S Highway 49, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144517715 | NPI | - | NPPES |
MD.33105 | Other | AL | MEDICAL LICENSURE COMMISSION OF ALABAMA |
23826 | Other | MS | MEDICAL LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23826 (Mississippi) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 23826 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
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Dr Jacob Martin Graham, MD Po Box 607, Laurel, MS 39441-0607 Ph: (601) 518-7054 | Dr Jacob Martin Graham, MD 6051 U S Highway 49, Hattiesburg, MS 39401-7200 Ph: (601) 288-7000 |
Laurie Evans Douglas, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-1700 Fax: 601-288-8290 | |
Dr. Charles Ramsey Mccollum Iii, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212 | |
Porter Hudson Glover, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778 | |
Alex Gauthier, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 | |
Grettel Rodriguez Garcia, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402 Phone: 347-342-2441 | |
Ms. Manal Mohammad Abdur Rahman, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-296-2990 Fax: 601-296-2860 | |
Dr. Vashishtha Patel, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499 |