| Granville Giltz Croley Ii, MD | |
|
200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 | |
| (704) 403-7070 | |
| Not Available |
| Full Name | Granville Giltz Croley Ii |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 200 Medical Park Dr, Concord, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427011501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35307 (North Carolina) | Primary |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Giltz Croley Ii, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Granville Giltz Croley Ii, MD 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 Ph: (704) 403-7070 |
Jacqueline Tracey, Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Suite 430, Concord, NC 28025 Phone: 704-403-7070 | |
Medhat William Takla, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 230, Concord, NC 28025 Phone: 704-403-1349 | |
Matthew David Fox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 430, Concord, NC 28025 Phone: 704-403-7070 | |
Laura Elizabeth Hudson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr Ste 400, Concord, NC 28025 Phone: 704-786-1108 Fax: 704-782-1826 | |
Jennifer Brooke Hale, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1311 | |
Michael Joseph Beckman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr, Ste 430, Concord, NC 28025 Phone: 704-403-5890 | |
Dr. James Nelson Iglehart, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Dr Ste 400, Concord, NC 28025 Phone: 704-786-1108 Fax: 704-786-1121 |