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NPI Code Detail

MEDICARE: RONALD EUGENE GRANGER MD

MEDICARE: RONALD EUGENE GRANGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician25298NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
136728OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124094487
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD EUGENE GRANGER MD
Provider Business Mailing Address
First Line : 107 WEEKS DR
Second Line :
City : ROXBORO
State : NC
Zip : 27573-3929
Country : US
Telephone Number : 336-598-5480
Fax Number : 336-598-5482
Provider Business Practice Location Address
First Line : 107 WEEKS DR
Second Line :
City : ROXBORO
State : NC
Zip : 27573-3929
Country : US
Telephone Number : 336-598-5480
Fax Number : 336-598-5482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 04/09/2015

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Directions to “ RONALD EUGENE GRANGER MD” Practice Location

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