| Granville Nutrition Services | |
|
1010 College St, Oxford, NC 27565-2507 | |
| (919) 690-8413 | |
| (919) 603-1097 |
| Full Name | Granville Nutrition Services |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1010 College St, Oxford, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053619072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L002146 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Nutrition Services P.o. Box 947, Oxford, NC 27565-0947 Ph: (919) 690-8413 | Granville Nutrition Services 1010 College St, Oxford, NC 27565-2507 Ph: (919) 690-8413 |
Prof. Carmen Samuel-hodge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 Hunt Dr, Oxford, NC 27565 Phone: 919-693-2141 Fax: 919-693-8517 | |
Mrs. Joy Weisner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1010 College Street, Oxford, NC 27565 Phone: 919-690-4117 Fax: 919-690-3457 | |
Margaret Gehring Mickelson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 Hunt Dr, Oxford, NC 27565 Phone: 919-693-2141 |