# MIA GRIFFIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407503089
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | PA200001358 | DC | — |
| 363AS0400X | Surgical Physician Assistant | PA200001358 | DC | Yes |

## Other

- **Enumeration date:** 03/03/2022
- **Last updated:** 12/18/2022