IndividualActive
Graham Grogan, MD
NPI 1740030105 · Plastic Surgery Physician · Jackson, MS
Provider details
- NPI number
- 1740030105
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- T-5351 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5100
Approximate (ZIP-level) locationGet directions
Mailing address
110 Chadwyck Ct
Madison, MS 39110-6506
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.