Georgia Griffis PA

NPI 1053498840 - Physician Assistant - 363A00000X

NPI Details
NPI 1053498840
Gender Female
Enumeration Date 11/01/2006
Last Updated 11/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
907 18TH ST E
TIFTON GA, 31794-3643, US
Phone (229) 391-3320
Fax
Business Location
907 18TH ST E
TIFTON GA, 31794-3643, US
Phone (229) 391-3320
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 002893
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According to our database, Georgia Griffis PA NPI is 1053498840, taxonomy code is 363A00000X and license number is 002893, license state is located at Georgia. Georgia Griffis PA physically located at 907 18th St E, Tifton GA, 31794-3643. NPI Number Georgia Griffis PA has the Individual type.

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1053498840 NPI number is provided on an as is basis without warranty of any kind. 1053498840 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Griffis PA are for informational purposes only.