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Organization

GEORGE W GRIFFITH MD PSC

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Organization

GEORGE W GRIFFITH MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE W GRIFFITH MD (PRESIDENT)
(606) 256-2961
Entity
Organization

Contact information

Practice address
160 E, MAIN ST, MT VERNON, KY 40456-0609
(606) 256-2961
(606) 256-3562
Mailing address
PO BOX 609, MT VERNON, KY 40456
(606) 256-2961
(606) 256-3562

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17377
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064717
ANTHEM BCBS
KY
01
—
080139245
RAILROAD MC
KY
05
—
64173776
—
KY
Enumeration date
10/23/2006
Last updated
04/01/2011
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