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Individual

RONALD EUGENE GRANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
107 WEEKS DR, ROXBORO, NC 27573-3929
(336) 598-5480
(336) 598-5482
Mailing address
107 WEEKS DR, ROXBORO, NC 27573-3929
(336) 598-5480
(336) 598-5482

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25298
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36728
BCBS
NC
05
8936728
NC
Enumeration date
02/27/2006
Last updated
04/09/2015
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