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Organization

GRANVILLE HEALTH SYSTEM

Active
Other names
Granville CRNA 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) 603-1097
Mailing address
PO BOX 947, OXFORD, NC 27565-0947
(919) 690-3000
(919) 603-1097

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07705
BCBS
NC
05
8000072
NC
Enumeration date
09/13/2006
Last updated
10/11/2024
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