NPI | 1043766686 |
---|---|
Doing Business As | GRANVILLE ENT |
Entity Type | Organization |
Authorized Contact | ADAM WEST MCCONNELL CEO 919-690-3402 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2016-09-01 |
Last Update Date | 2023-11-07 |