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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHILIP RANDLE GRAHAM, O.D.

Active Sole Proprietor

DR. PHILIP RANDLE GRAHAM, O.D. is a Optometrist healthcare provider located in PONTOTOC, Mississippi. NPI 1164572848 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PONTOTOC, MS

Registration Details

NPI Number
1164572848
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2007 (19.559799026382 yrs)
Last Updated
Nov 10, 2008
License
491 (MS)
Sole Proprietor
Yes

Practice Information

Address
14 E MARION ST
PONTOTOC, MS, 388632813
Browse MS providers · Browse ZIP 38863
Phone
6624894741
Fax
6624892940
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in PONTOTOC, MS

Name Credential NPI
DR. WILLIAM TERRY WOOD 1013030964
DR. MIRANDA WOOD MAYNARD O.D 1497990048
DR. JOSEPH CALEB WARREN OD 1023798725
MCKENZIE LEE GATES O.D. 1407631492
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.