Griffin Obgyn Clinic PA
Obstetrics & Gynecology in Griffin, GA. Organization (NPI-2).
NPI number1558415919
StatusActive
Last updated in NPPESSep 8, 2022
Details
- NPI
- 1558415919
- Entity type
- Organization (NPI-2)
- Legal business name
- Griffin Obgyn Clinic PA
- Organization subpart
- No
- Enumeration date
- Jan 23, 2007
- Certification date
- Sep 8, 2022
- Last updated
- Sep 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
503 S 8th StreetGriffin, GA 30224-4211
Phone 770-227-5505 · Fax 770-412-7881
Mailing address
503 S 8th StreetGriffin, GA 30224-4211
Phone 770-227-5505 · Fax 770-412-7881
Authorized official
Taylor Chastain
Office Manager
7702275505
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