person
Dr. David Graham Southerland, MD
General Practice Physician in Groton, Connecticut
NPI 1932260965

David Graham Southerland is a General Practice Physician based in Groton, CT. David Graham Southerland practices in Groton, CT and has the professional credentials of MD. The NPI Number for David Graham Southerland is 1932260965 and holds a License No. 10023 (Connecticut).

The current practice location address for David Graham Southerland is Bldg 148, Trout Ave, Groton, CT and can be reached out via phone at 860-694-3263 and via fax at 860-694-4809. You can also correspond with David Graham Southerland through the mailing address at BLDG 148, TROUT AVE, GROTON, CT - 06349-5900 (mailing address contact number: 860-694-3263).

Location: Bldg 148, Trout Ave, Groton, CT, 06349-5900
person
Provider Profile Details
NPI Number
1932260965
Provider Name
David Graham Southerland
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Bldg 148, Trout Ave, Groton, CT, 06349-5900
Phone Number
860-694-3263
Fax Number
860-694-4809
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Bldg 148, Trout Ave
City
State
Zip
06349-5900
Phone Number
860-694-3263
Fax Number
860-694-4809
person
Provider Business Mailing Address Details
Address
Bldg 148, Trout Ave
City
State
Zip
06349-5900
Phone Number
860-694-3263
Fax Number
860-694-4809
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
10023 (Mississippi)
Definition
Definition to come...
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