Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY COOK GRANATA, PA-C
Active Sole ProprietorCARLY COOK GRANATA, PA-C is a Physician Assistant healthcare provider located in MITCHELLVILLE, Maryland. NPI 1396219408 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MITCHELLVILLE, MD
Registration Details
- NPI Number
- 1396219408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2019 (7.5548906470869 yrs)
- Last Updated
- Jun 10, 2022
- Licenses
-
C0008389 (MD)0110007055 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10236 LAKE ARBOR WAYMITCHELLVILLE, MD, 207213113Browse MD providers · Browse ZIP 20721
- Phone
- 2404362840
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MITCHELLVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. LINDA BENNETT SOLOMON | PAC | 1356469068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.