Organization · Type 2 NPI
Granville Health Inc
Otolaryngology/Facial Plastic Surgery Physician · Oxford, NC
NPI number
1043766686
Active
Practice location
102 Professional Park Dr., Suite C
Oxford, NC 27565-2501
Mailing address
PO Box 986
Oxford, NC 27565-0986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1043766686
Granville Health Inc's National Provider Identifier is 1043766686, issued on Sep 1, 2016. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Oxford, NC. The record was last updated on Jul 8, 2026.