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Individual

MARY M. GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1351 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 718-7777
(336) 718-7757
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-7777
(336) 718-7744

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35353
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8937581
NC
Enumeration date
01/27/2006
Last updated
02/09/2012
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