| NPI | 1730639394 |
|---|---|
| Doing Business As | GRANVILLE ENT |
| Entity Type | Organization |
| Authorized Contact | LARRY L ISLEY CEO 919-690-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |