Organization
GRANVILLE HEALTH SYSTEM ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WEST MCCONNELL (CEO)
(919) 690-3405
Entity
Organization
Contact information
Practice address
625 LEWIS ST, OXFORD, NC 27565-3523
(919) 690-3000
Mailing address
PO BOX 947, OXFORD, NC 27565-0947
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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