Individual
BRANDON LEBRON GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
775 POPLAR RD STE 130, NEWNAN, GA 30265-8307
(770) 683-6291
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN253827
GA
363LA2100X
Acute Care Nurse Practitioner
NCO-000003
GA
Other
Enumeration date
02/02/2016
Last updated
07/30/2021
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