Provider Demographics
NPI:1013198985
Name:GRAHAM L. HOWORTH, M.D., P.C.
Entity Type:Organization
Organization Name:GRAHAM L. HOWORTH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWORTH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:256-234-0989
Mailing Address - Street 1:1120 AIRPORT DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-3444
Mailing Address - Country:US
Mailing Address - Phone:256-234-0989
Mailing Address - Fax:256-234-3114
Practice Address - Street 1:1120 AIRPORT DR STE 101
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3444
Practice Address - Country:US
Practice Address - Phone:256-234-0989
Practice Address - Fax:256-234-3114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00011454207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC70138Medicare UPIN
AL81274Medicare PIN