Organization
GRANVILLE HEALTH SYSTEM
Active
Other names
GRANVILLE PHYSICIANS GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE PURVIS (CFO)
(919) 690-3237
Entity
Organization
Contact information
Practice address
1010 COLLEGE ST, OXFORD, NC 27565-2507
(919) 690-3000
(919) 690-3457
Mailing address
PO BOX 947, OXFORD, NC 27565-0947
(919) 690-3000
(919) 690-3457
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07705
BLUE CROSS
NC
05
—
5950159
—
NC
Enumeration date
06/02/2008
Last updated
10/11/2024
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