Individual
PHYONCIA M GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3190 SUMMIT PLACE DR, LOGANVILLE, GA 30052-5353
(404) 507-4786
(404) 541-3216
Mailing address
3190 SUMMIT PLACE DR, LOGANVILLE, GA 30052-5353
(404) 507-4786
(404) 541-3216
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030012917
GA
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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