Individual provider · Type 1 NPI

David Graham Southerland, MD

General Practice Physician · Groton, CT

NPI number 1932260965 Active

Practice location

Bldg 148, Trout Ave
Groton, CT 06349-5900

Fax (860) 694-4809

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X10023 (MS)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1932260965

David Graham Southerland, MD's National Provider Identifier is 1932260965, issued on Dec 13, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Groton, CT. The record was last updated on Jul 8, 2007.