Provider Demographics
NPI:1619209046
Name:GRAHAM, FRANCES H (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:H
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 SPARKMAN DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-3417
Mailing Address - Country:US
Mailing Address - Phone:256-428-7560
Mailing Address - Fax:256-428-7561
Practice Address - Street 1:4801 BOB WALLACE AVENUE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-3389
Practice Address - Country:US
Practice Address - Phone:256-428-7488
Practice Address - Fax:256-428-7561
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL36648208000000X
GA030775208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL217225Medicaid
AL217226Medicaid
AL216959Medicaid
AL216957Medicaid