Dr. David G Southerland, MD
General Practice in Groton, Connecticut
1932260965- Practice location
- Bldg 148, Trout Ave, Groton, CT 06349-5900
- Phone
- 860-694-3263
- Fax
- 860-694-4809
- Last updated
- July 8, 2007
David Graham Southerland is a General Practice 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 (MS). The current practice location address for David Graham Southerland is Bldg 148, Trout Ave, Groton, CT 06349-5900 and can be reached out via phone at 860-694-3263 and via fax at 860-694-4809.
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
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 13, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Bldg 148, Trout Ave
Groton, CT 06349-5900 - City
- Groton
- State
- Connecticut
- Zip
- 06349-5900
- Phone Number
- 860-694-3263
- Fax Number
- 860-694-4809
Provider Business Mailing Address Details
- Address
- Bldg 148, Trout Ave
Groton, CT 06349-5900 - City
- Groton
- State
- CT
- Zip
- 06349-5900
- Phone Number
- 860-694-3263
- Fax Number
- 860-694-4809
License Information
- License Number
- 10023
- License State
- MS
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. David G Southerland, MD?
The NPI number of Dr. David G Southerland, MD is 1932260965. It was assigned on December 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. David G Southerland, MD?
Dr. David G Southerland, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in MS under license number 10023.
Where does Dr. David G Southerland, MD practice?
The practice location is Bldg 148, Trout Ave, Groton, CT 06349-5900. The office can be reached at 860-694-3263 (phone) or 860-694-4809 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932260965 directly on the NPPES registry website.