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Samuel Leroy Graham
Independent Duty Corpsman in Kiln, Mississippi
NPI 1932360815

Samuel Leroy Graham is a Independent Duty Corpsman based in Kiln, MS and is specialized in Independent Duty Corpsman. Samuel Leroy Graham practices in Kiln, MS. The NPI Number for Samuel Leroy Graham is 1932360815 and holds a License No. (Mississippi).

The current practice location address for Samuel Leroy Graham is 14115 Fred And Al Key Rd, Kiln, MS and can be reached out via phone at 228-466-1035 and via fax at 228-466-8962.

Location: 14115 Fred And Al Key Rd, Kiln, MS, 39556-8060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932360815
Provider Name
Samuel Leroy Graham
Credential
Provider Entity Type
Individual
Gender
Male
Address
14115 Fred And Al Key Rd, Kiln, MS, 39556-8060
Phone Number
228-466-1035
Fax Number
228-466-8962
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14115 Fred And Al Key Rd
City
Kiln
State
Mississippi
Zip
39556-8060
Phone Number
228-466-1035
Fax Number
228-466-8962
person
Provider Business Mailing Address Details
Address
14115 Fred And Al Key Rd
City
Kiln
State
Mississippi
Zip
39556-8060
Phone Number
228-466-1035
Fax Number
228-466-8962
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Military Hospital
Speciality
-
Taxonomy
286500000X
License No.
()
Definition
A health care facility operated by the Department of Defense.
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