Mary Graham, MD | |
2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | |
(703) 357-9707 | |
Not Available |
Full Name | Mary Graham |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 2199 Old Bridge Rd, Lake Ridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891181293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101267384 (Virginia) | Primary |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
Entity Name | Alexandria Springfield Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20130514000155 |
Entity Name | Patient First Richmond Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689603748 PECOS PAC ID: 9931011434 Enrollment ID: O20131211001473 |
Entity Name | Patient First Maryland Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265866503 PECOS PAC ID: 4385538735 Enrollment ID: O20140108000578 |
Mailing Address | Practice Location Address |
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Mary Graham, MD 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: () - | Mary Graham, MD 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 Ph: (703) 357-9707 |