Healthcare Provider Details
I. General information
NPI: 1174666788
Provider Name (Legal Business Name): COUNTY OF GRAHAM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2007
Last Update Date: 03/25/2024
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
191 P AND J RD
ROBBINSVILLE NC
28771-0510
US
IV. Provider business mailing address
PO BOX 1848
ROBBINSVILLE NC
28771-1848
US
V. Phone/Fax
- Phone: 828-479-7900
- Fax:
- Phone: 828-479-7900
- Fax: 828-479-7349
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP0905X |
| Taxonomy | State or Local Public Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DONNA
STEPHENS
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 828-479-7900