Stacie Griffin
Contractor in Decatur, GA. Individual provider (NPI-1).
NPI number1023608767
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1023608767
- Entity type
- Individual (NPI-1)
- Name
- Ms. Stacie Griffin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2021
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
2654 Clifton Springs RdDecatur, GA 30034-3747
Phone 404-414-3443
Mailing address
2654 Clifton Springs RdDecatur, GA 30034-3747
Phone 404-414-3443
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