| NPI | 1588952758 |
|---|---|
| Doing Business As | GRANVILLE SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS FREDERICK CFO 919-613-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2022-07-11 |