Individual
DR. JAMES MITCHELL GRANFORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 832-1100
Mailing address
PO BOX 405633, ATLANTA, GA 30384-5633
(336) 832-3677
(336) 832-3681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39602
NC
207RH0000X
Hematology (Internal Medicine) Physician
Primary
90308
NC
207RH0003X
Hematology & Oncology Physician
90308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36721
BCBS NC
NC
01
—
37875
MEDCOST
NC
01
—
5644
MEDICARE PARTNERS
NC
01
—
5994101
AETNA
NC
05
—
8936721
—
NC
Enumeration date
05/18/2006
Last updated
09/21/2010
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