| Granville Gastroenterology Associates | |
|
103 Professional Park Oxford NC 27565-2581 | |
| (919) 690-3000 | |
| Not Available |
| Full Name | Granville Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Professional Park, Oxford, North Carolina |
| Authorized Official Name and Position | Jamie Purvis (CFO) |
| Authorized Official Contact | 9196903237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Gastroenterology Associates Po Box 986 Oxford NC 27565-0986 Ph: (919) 690-3487 | Granville Gastroenterology Associates 103 Professional Park Oxford NC 27565-2581 Ph: (919) 690-3000 |
| NPI Number | 1336645720 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 0840341822 |
|---|---|
| Medicare Enrollment ID | O20180605001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336645720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Rafael E Negron-medina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760586150 PECOS PAC ID: 4082793492 Enrollment ID: I20080509000088 |
| Provider Name | Albin John Abraham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790917870 PECOS PAC ID: 8527201995 Enrollment ID: I20180605001428 |
| Provider Name | Alexia Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386113124 PECOS PAC ID: 0840539359 Enrollment ID: I20190228000022 |
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