Fitzroy Henry Graham
MD | Pediatrics | Male
Fitzroy Henry Graham, MD is a Woodstock, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Fitzroy Henry Graham is
105 Mirramont Lake Dr Ste 100, Woodstock, Georgia - 30189-8214. He can be contacted on phone at
770-485-9670 and fax number 678-401-7658.
Fitzroy Henry Graham is a sole proprietor of his business.
NPI number (Unique professional ID) for Fitzroy Henry Graham is
1538120092 which was assigned by NPPES on 31 Mar, 2006 and it was last updated on 18 Feb, 2021.
Fitzroy Henry Graham license number is
048780 for Pediatrics (208000000X) in Georgia.
Fitzroy Henry Graham is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Fitzroy Henry Graham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Fitzroy Henry Graham |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Fitzroy Henry Graham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 105 Mirramont Lake Dr Ste 100
Woodstock, GA, 30189-8214
United States |
|---|
| Phone Number : | 770-485-9670 |
|---|
| Fax Number : | 678-401-7658 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1538120092 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 31 Mar, 2006 |
|---|
| Last Updated On : | 18 Feb, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fitzroy Henry Graham are as mentioned. Primary taxonomy code for Fitzroy Henry Graham, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 048780 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Fitzroy Henry Graham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000919663B | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 105 Mirramont Lake Dr
Woodstock, GA, 30189-8214
United States |
|---|
| Phone Number : | 770-485-9670 |
|---|
| Fax Number : | 678-401-7658 |
|---|
Business Location:
Patients can refer following map for directions to
Fitzroy Henry Graham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.