Individual
ALVIN DALE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27190 MS 28, HAZLEHURST, MS 39083
(601) 574-7000
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2805
MS
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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