Organization
KENDALL M GRIFFITH MD LLC
Active
Other names
My Heart Doctor
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL M GRIFFITH MD (OWNER)
(340) 643-2227
Entity
Organization
Contact information
Practice address
110 RUSHING LN, STATESBORO, GA 30458-6027
(912) 243-9274
Mailing address
PO BOX 2027, STATESBORO, GA 30459-2027
(912) 243-9274
(912) 341-6513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/14/2018
Last updated
08/03/2023
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