Organization
GRANVILLE HEALTH INC
Active
Other names
Community Immediate Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA BLALOCK (OFFICE MANAGER)
(919) 528-7171
Entity
Organization
Contact information
Practice address
1614 NC HIGHWAY 56, CREEDMOOR, NC 27522-8297
(919) 528-7171
(919) 528-8797
Mailing address
1614 NC HIGHWAY 56, CREEDMOOR, NC 27522-8297
(919) 528-7171
(919) 528-8797
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2006
Last updated
09/10/2009
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