Individual
DAVID W GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
157 CLINIC AVE, SUITE 302, CARROLLTON, GA 30117-4413
(770) 834-3336
(770) 832-2136
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00794989A
—
GA
01
—
020043265
RAILROAD MEDICARE
GA
01
—
30117A005
CHAMPUS
GA
01
—
5061659
AETNA
GA
01
—
727923
BLUE CROSS
GA
Enumeration date
12/02/2005
Last updated
03/16/2016
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