Provider Demographics
NPI:1053659367
Name:GRAHAM, RHONDA B (DO)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:B
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5729 COVE COMMONS DR. SE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BROWNSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35741-9744
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5729 COVE COMMONS DR. SE
Practice Address - Street 2:SUITE C
Practice Address - City:BROWNSBORO
Practice Address - State:AL
Practice Address - Zip Code:35741-9744
Practice Address - Country:US
Practice Address - Phone:256-367-2686
Practice Address - Fax:256-292-0114
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-21
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLUO3184208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics