Individual
GRANADA STEPHENS NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 MILLGATE DR, SUITE D, WINSTON SALEM, NC 27103-1338
(336) 774-2194
(336) 774-2195
Mailing address
1400 MILLGATE DR, SUITE D, WINSTON SALEM, NC 27103-1338
(336) 774-2194
(336) 774-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200501450
NC
Other
Enumeration date
03/15/2006
Last updated
08/27/2009
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