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Organization
GRIFFIN CHIROPRACTIC CLINIC, INC.
Active
Organization
GRIFFIN CHIROPRACTIC CLINIC, INC.
Active
Other names
Gainesville Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD STANLEY GRIFFIN SR. D.C. (OWNER, PRESIDENT)
(770) 532-4084
Entity
Organization
Contact information
Practice address
700 S ENOTA DR NE, SUITE 201, GAINESVILLE, GA 30501-2403
(770) 532-4084
Mailing address
700 S ENOTA DR NE, SUITE 201, GAINESVILLE, GA 30501-2403
(770) 532-4084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2451
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCBZL
MEDICARE PTAN
GA
Enumeration date
12/21/2011
Last updated
12/21/2011
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