Carly Cook Granata, PA-C
NPI #1396219408 in Mitchellville, Maryland
Provider Information
- NPI Number
- 1396219408
- Entity Type
- Individual
- Name
- Carly Cook Granata, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 11, 2019
- Last Updated
- Jun 10, 2022
Practice Location
- Address
- 10236 LAKE ARBOR WAY
- City
- Mitchellville
- State
- Maryland
- ZIP Code
- 20721-3113
- Phone
- (240) 436-2840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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