Provider Demographics
NPI:1902884562
Name:GRASINGER, CECILIA FABRY (MD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:FABRY
Last Name:GRASINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5009
Mailing Address - Country:US
Mailing Address - Phone:828-268-8970
Mailing Address - Fax:828-262-1587
Practice Address - Street 1:381 DEERFIELD RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5009
Practice Address - Country:US
Practice Address - Phone:828-268-8970
Practice Address - Fax:828-262-1587
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35347207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7936791Medicaid
NC2173078DMedicare ID - Type Unspecified
NC7936791Medicaid