Organization Name: | GRANVILLE HEALTH INC. |
NPI Number: | 1447570957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRISTINA RIGSBEE (VP, AMBULATORY SERVICES) |
Mailing Address: | 1010 College St Oxford |
State: | NC US |
Postal Code: | 275652507 |
Phone Number: | 9196903000 |
Fax Number: | 9196903400 |
NPI Enumeration Date: | 06/07/2010 |
NPI Last Update Date: | 11/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |