Individual
CHARLES S GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34501 AURORA RD, SUITE 206, SOLON, OH 44139-3873
(440) 248-4636
(440) 248-0133
Mailing address
11661 RIVERWOOD ROAD, CHARDON, OH 44024-8901
(440) 286-8885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35040897
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126656
ANTHEM BCBS
—
05
—
0340312
—
OH
01
—
340897
SUMMACARE
—
01
—
341050418032
CARESOURCE
—
01
—
351335
WELLCARE
—
Enumeration date
08/31/2005
Last updated
12/07/2012
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