Female

Angela Graeber M.D.

Diagnostic Radiology Physician in Jackson, MS(View on Map)

Full Name

Angela Graeber M.D.

NPI Number

1447451349

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/29/2007

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

11360

Contact
Information

Purpose

Mailing
Location

Address

2500 N STATE STREET
2500 N STATE ST

City

Jackson
Jackson

State

MS
MS

Postal Code

39216
39216-4500

Country

US
US

Telephone Number

(601) 984-2538
(601) 984-2538

Identifiers

Identifier

P004622007
08603769
1025429
P00436435
P01168130
157418

Identifier State

MS
MS
LA
MS
MS
AL

Identifier Issuer

RAILROAD MEDICARE
Unknown
Unknown
RAILROAD MEDICARE
RR MEDICARE PTAN
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2014

Provider Address

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