# EDWARD J. BUJOLD MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granite Falls Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861685364
- **Authorized official:** DENISE LOWRY (PRACTICE MANAGER)
- **Authorized official phone:** (828) 396-3283

## Contact information

- **Practice address:** 4132 HICKORY BLVD, GRANITE FALLS, NC 28630-8371
- **Practice address phone:** (828) 396-3168
- **Practice address fax:** (828) 396-8783
- **Mailing address:** 4132 HICKORY BLVD, PO BOX 965, GRANITE FALLS, NC 28630-8371
- **Mailing address phone:** (828) 396-3168
- **Mailing address fax:** (828) 396-8783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29829 | NC | Yes |

## Other

- **Enumeration date:** 08/20/2007
- **Last updated:** 04/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19642 | BC | NC |
| 05 | — | 8919642 | — | NC |