# GEORGE W GRIFFITH MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205919594
- **Authorized official:** MR. GEORGE W GRIFFITH MD (PRESIDENT)
- **Authorized official phone:** (606) 256-2961

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17377 | KY | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 04/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000064717 | ANTHEM BCBS | KY |
| 01 | — | 080139245 | RAILROAD MC | KY |
| 05 | — | 64173776 | — | KY |