Organization
GRANVILLE HEALTH INC
Active
Other names
Granville Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE PURVIS (CFO)
(919) 690-3237
Entity
Organization
Contact information
Practice address
102 PROFESSIONAL PARK, SUITE C, OXFORD, NC 27565-2501
(919) 690-0435
(252) 492-2028
Mailing address
PO BOX 986, OXFORD, NC 27565-0986
(919) 690-0435
(252) 492-2028
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911739
—
NC
Enumeration date
03/16/2009
Last updated
10/11/2024
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