Alley, John Granville

Alley, John Granville is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alley, John Granville can be contacted via phone (919) 350-7000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610
Phone: (919) 350-7000
Fax: (919) 375-8959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101270438 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 9901097 North Carolina

Profile Details

NPI number 1417973298
LBN Legal business name Alley, John Granville
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417973298 NPPES
North Carolina MEDICAID 89036TC

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