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ERICA GRIFFIN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1558721894
Individual Registrant: ERICA GRIFFIN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
240 OAKEN BUCKET DR TEMPLE, GA 30179-5603 US
Tel: 404-216-3609 Fax: --
Tel: 404-216-3609 Fax: --
Contact information for business:
240 OAKEN BUCKET DR TEMPLE, GA 30179-5603 US
Tel: 404-216-3609 Fax: --
Tel: 404-216-3609 Fax: --
Registration Information:
NPI: 1558721894
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN200362 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
