Individual
CHARLES W GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2225 US HWY 41 N, TIFTON, GA 31794
(229) 391-4100
Mailing address
2225 US HWY 41 N, TIFTON, GA 31794
(229) 391-4100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00616613B
—
GA
Enumeration date
06/09/2005
Last updated
03/31/2010
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