Fitzroy Henry Graham, MD - Pediatrics in Woodstock, GA

Fitzroy Henry Graham, MD is a Pediatrics physician based in Woodstock, Georgia. Fitzroy Henry Graham is licensed to practice in Georgia (license number 048780) and his current practice location is 105 Mirramont Lake Dr Ste 100, Woodstock, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 485-9670.

NPI number for Fitzroy Henry Graham is 1538120092 and his current mailing address is 105 Mirramont Lake Dr, Woodstock, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538120092.

Contact Information

Fitzroy Henry Graham, MD
105 Mirramont Lake Dr Ste 100,
Woodstock, GA 30189-8214
(770) 485-9670
(678) 401-7658

Map and Direction




Physician's Profile

Full NameFitzroy Henry Graham
GenderMale
SpecialityPediatrics
Location105 Mirramont Lake Dr Ste 100, Woodstock, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538120092
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 02/18/2021

Medical Identifiers

Medical identifiers for Fitzroy Henry Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538120092NPI-NPPES
000919663BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 048780 (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. Fitzroy Henry Graham 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 AddressPractice Location Address
Fitzroy Henry Graham, MD
105 Mirramont Lake Dr,
Woodstock, GA 30189-8214

Ph: (770) 485-9670
Fitzroy Henry Graham, MD
105 Mirramont Lake Dr Ste 100,
Woodstock, GA 30189-8214

Ph: (770) 485-9670

Reviews and Comments


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