Carly Grovhoug
Family Doctor
111 Main St Ste B
Winters
, California 95694-1930
Carly Grovhoug
Family Doctor
111 Main St Ste B
Winters
, California 95694-1930
(800) 470-0071
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Carly Grovhoug
- 10470 Old Placerville Rd Ste 100
- Sacramento, CA
- Zip : 95827-2539
- Phone : (800) 470-0071
Second Address
- Carly Grovhoug
- 111 Main St Ste B
- Winters, CA
- Zip : 95694-1930
- Fax : (530) 795-0315
- Phone : (530) 795-4591
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | A128377 | CA |
National Provider Identifier
| NPI | 1003172859 |
|---|---|
| Provider Name | Carly Grovhoug |
| First Address | Sacramento, CA 95827-2539 |
| Second Address | Winters, CA 95694-1930 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2012 |
| Last Update Date | 26/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.