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Individual

DR. JASON E GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2621 E PINETREE BLVD, THOMASVILLE, GA 31792-4840
(229) 584-4100
(229) 584-4152
Mailing address
PO BOX 6698, THOMASVILLE, GA 31758-6698
(229) 226-5788
(229) 226-2548

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047325
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000931675A
GA
01
001257
BC/BS OF GA
GA
Enumeration date
02/09/2006
Last updated
09/17/2020
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