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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 10023 (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.