Granville Mason Croley, PA-C
Physician Assistant in Burlington, NC. Individual provider (NPI-1).
NPI number1982170445
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1982170445
- Entity type
- Individual (NPI-1)
- Name
- Mr. Granville Mason Croley
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2018
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-08392 | NC | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
1234 Huffman Mill RoadBurlington, NC 27215-8700
Phone 336-538-2355 · Fax 336-584-6811
Mailing address
1234 Huffman Mill RoadBurlington, NC 27215-8700
Phone 336-538-1234 · Fax 336-584-6811
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