| Doctor Name: | RONALD EUGENE GRANGER |
| NPI Number: | 1124094487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25298 |
| Business Practice Address: | 107 Weeks Dr Roxboro, NC - 275733929 |
| Business Phone Number: | 3365985480 |
| Business Fax Number: | 3365985482 |
| Mailing Address: | 107 Weeks Dr, ROXBORO |
| State: | NC |
| Postal Code: | 275733929 |
| Phone Number: | 3365985480 |
| Fax Number: | 3365985482 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 25298 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |