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Individual

DR. BRUCE TODD GRANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11312 US 15 501 N, SUITE 106, CHAPEL HILL, NC 27517-6375
(919) 533-4686
Mailing address
11312 US 15 501 N, SUITE 106, CHAPEL HILL, NC 27517-6375
(919) 533-4686

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36189
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110079482
RAILROAD RETIRE
05
7936725
NC
Enumeration date
03/30/2006
Last updated
10/13/2016
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