Granville Family Medicine PA

NPI #1093713695 in Oxford, North Carolina

Provider Information

NPI Number
1093713695
Entity Type
Organization
Organization Name
Granville Family Medicine PA
Primary Specialty
Family Medicine
Enumeration Date
Jul 8, 2005
Last Updated
Sep 15, 2014

Practice Location

Address
103 PROFESSIONAL PARK STE A
City
Oxford
ZIP Code
27565-2581
Phone
(919) 693-7108

Authorized Official

Name
DENNIS MICHAEL MAHAN, MD
Title
CEO
Phone
(919) 693-7108

Specialties & Taxonomy Codes

Specialty
Pediatrics
Family Medicine

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