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NPI Code Detail

MEDICARE: GRAHAM CARR CALVERT M.D.

MEDICARE: GRAHAM CARR CALVERT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician22486MS
2207XS0117XOrthopaedic Surgery of the Spine Physician22486MS

General Provider Information

NPI Number : 1861695264
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRAHAM CARR CALVERT M.D.
Provider Business Mailing Address
First Line : 1325 E FORTIFICATION ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2442
Country : US
Telephone Number : 601-354-4488
Fax Number :
Provider Business Practice Location Address
First Line : 1325 E FORTIFICATION ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2442
Country : US
Telephone Number : 601-354-4488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 06/10/2026

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