| Granville Specialty Clinic | |
|
103 Professional Park Ste C Oxford NC 27565-2581 | |
| (919) 690-3210 | |
| Not Available |
| Full Name | Granville Specialty Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Professional Park Ste C, Oxford, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Specialty Clinic Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Granville Specialty Clinic 103 Professional Park Ste C Oxford NC 27565-2581 Ph: (919) 690-3210 |
| NPI Number | 1588952758 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588952758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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