person
Susan Leslie Granville, PA
Medical Physician Assistant in Georgetown, Texas
NPI 1912104431

Susan Leslie Granville is a Medical Physician Assistant based in Georgetown, TX and is specialized in Medical. Susan Leslie Granville practices in Georgetown, TX and has the professional credentials of PA. The NPI Number for Susan Leslie Granville is 1912104431 and holds a License No. PA06979 (Texas).

The current practice location address for Susan Leslie Granville is 4945 Williams Dr, Georgetown, TX and can be reached out via phone at 512-819-0500.

Location: 4945 Williams Dr, Georgetown, TX, 78633-5434
person
Provider Profile Details
NPI Number
1912104431
Provider Name
Susan Leslie Granville
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4945 Williams Dr, Georgetown, TX, 78633-5434
Phone Number
512-819-0500
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4945 Williams Dr
City
State
Zip
78633-2008
Phone Number
512-819-0500
Fax Number
person
Provider Business Mailing Address Details
Address
4945 Williams Dr
City
State
Zip
78633-2008
Phone Number
512-819-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA06979 (Texas)
Definition
Definition to come...
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