Provider Demographics
NPI:1881709095
Name:HOWORTH, GRAHAM LEE JR (MD)
Entity type:Individual
Prefix:MR
First Name:GRAHAM
Middle Name:LEE
Last Name:HOWORTH
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1120 AIRPORT DRIVE
Mailing Address - Street 2:STE 101
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010
Mailing Address - Country:US
Mailing Address - Phone:256-234-0989
Mailing Address - Fax:256-234-3114
Practice Address - Street 1:1120 AIRPORT DRIVE
Practice Address - Street 2:STE 101
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010
Practice Address - Country:US
Practice Address - Phone:256-234-0989
Practice Address - Fax:256-234-3114
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-12-21
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Provider Licenses
StateLicense IDTaxonomies
AL00011454207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000081274Medicaid
AL81274Medicare ID - Type Unspecified
AL000081274Medicaid
AL0629230001Medicare NSC