Organization
CROWN HEALTH CARE PA
Active
Other names
Granite Falls Primary Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A. STEWART (ADMINISTRATIVE ASSISTANT)
(828) 465-9730
Entity
Organization
Contact information
Practice address
1 TRADE ST, GRANITE FALLS, NC 28630-1525
(828) 396-3136
(828) 396-3105
Mailing address
ONE TRADE STREET, GRANITE FALLS, NC 28630
(828) 396-3136
(828) 396-3105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790148F
—
NC
01
—
CN8132
MEDICARE RAILROAD
NC
Enumeration date
10/24/2006
Last updated
12/20/2007
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