DR. David Graham Southerland, M.D.

NPI #1932260965 in Groton, Connecticut

Provider Information

NPI Number: 1932260965
Entity Type: Individual
Name: DR. David Graham Southerland, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Dec 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: BLDG 148, TROUT AVE
City: Groton
State: Connecticut
ZIP Code: 06349-5900
Phone: (860) 694-3263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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