Granville Family Medicine Pa in Oxford - Family Medicine
Granville Family Medicine Pa - NPI 1093713695
Granville Family Medicine Pa is a Family Medicine in Oxford, North Carolina. Granville Family Medicine Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Granville Family Medicine Pa is 1093713695. The last update date is 2014-09-15.
Granville Family Medicine Pa's current location address is 103 Professional Park Ste A, Oxford, North Carolina. You can contact this provider via phone number 9196937108 and fax number 9196939245. The mailing address for Granville Family Medicine Pa is 103 Professional Park Ste A, Oxford, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granville Family Medicine Pa |
|---|---|
| Address | 103 Professional Park Ste A, Oxford, North Carolina |
| Phone Number | 9196937108 |
| Fax Number | 9196939245 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mahan Michael Dennis |
| Credentials | MD |
| Telephone Number | 9196937108 |
NPI Number Detail
| NPI Number | 1093713695 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2014-09-15 |
Provider Mailing Address Detail
| Address | 103 Professional Park Ste A |
|---|---|
| City | Oxford |
| State | North Carolina (NC) |
| Post Code | 275652581 |
| Phone Number | 9196937108 |
| Fax Number | 9196939245 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25053 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 343950A | NC | -- | |
| 0171A | NC | BCBSNC | |
| 343950C | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Granville Family Medicine Pa by the Centers for Medicare & Medicaid Services?
The Granville Family Medicine Pa has been issued the NPI (National Provider Identifier) 1093713695 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Granville Family Medicine Pa is geographically located?
The Granville Family Medicine Pa is physically situated at the following location: 103 Professional Park Ste A, Oxford, NC, 275652581.
What is Granville Family Medicine Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Granville Family Medicine Pa is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did Granville Family Medicine Pa receive its 1093713695 assignment?
The Granville Family Medicine Pa was assigned its 1093713695 on 2005-07-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Granville Family Medicine Pa most recently updated or revised?
The information pertaining to Granville Family Medicine Pa, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-15.