Dr David Graham Southerland, MD is a
General Practice physician based in Groton, Connecticut. Dr David Graham Southerland is licensed to practice in Mississippi (license number 10023) and his current practice location is Bldg 148, Trout Ave, Groton, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 694-3263.
NPI number for Dr David Graham Southerland is 1932260965 and his current mailing address is Bldg 148, Trout Ave, Groton, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932260965.
Physician's Profile
Full Name | Dr David Graham Southerland |
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Gender | Male |
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Speciality | General Practice |
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Location | Bldg 148, Trout Ave, Groton, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932260965
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr David Graham Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932260965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 10023 (Mississippi) | 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. Dr David Graham Southerland 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 Address | Practice Location Address |
Dr David Graham Southerland, MD Bldg 148, Trout Ave, Groton, CT 06349-5900 Ph: (860) 694-3263 | Dr David Graham Southerland, MD Bldg 148, Trout Ave, Groton, CT 06349-5900 Ph: (860) 694-3263 |
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