Healthcare Provider Details

I. General information

NPI: 1699201830
Provider Name (Legal Business Name): COUNTY OF GRAHAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2017
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 S MAIN ST
ROBBINSVILLE NC
28771-9054
US

IV. Provider business mailing address

PO BOX 1848
ROBBINSVILLE NC
28771-1848
US

V. Phone/Fax

Practice location:
  • Phone: 828-479-7900
  • Fax: 828-479-7902
Mailing address:
  • Phone: 828-479-7900
  • Fax: 828-479-7902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number8743
License Number StateNC

VIII. Authorized Official

Name: STACY CARPENTER
Title or Position: FINANCE OFFICER
Credential:
Phone: 828-479-7770