| Gloria Graham, MD | |
|
1488 Hwy 487, Sebastopol, MS 39359 | |
| (601) 625-7403 | |
| Not Available |
| Full Name | Gloria Graham |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 1488 Hwy 487, Sebastopol, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932519964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27211 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Laird Hospital Inc | Union, MS | Hospital |
| Neshoba County General Hospital | Philadelphia, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Central Mississippi Health Care Inc | 0941103717 | 17 |
| Entity Name | Mississippi Band Of Choctaw Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790865780 PECOS PAC ID: 4385546662 Enrollment ID: O20040126000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Graham, MD 1488 Hwy 487, Sebastopol, MS 39359 Ph: (601) 625-7403 | Gloria Graham, MD 1488 Hwy 487, Sebastopol, MS 39359 Ph: (601) 625-7403 |
Mrs. Candace Tierra Pearson, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1488 Highway 487, Sebastopol, Ms 39359, Sebastopol, MS 39359 Phone: 601-625-7403 | |
Benita Joetta Myles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1488 Hwy 487, Family Medicine, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404 | |
Dr. John Edwin Witcher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1488 Hwy 487, Sebastopol Clinic, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404 |