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Organization

GEORGE W GRIFFITH MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE W GRIFFITH MD (PRESIDENT)
(606) 256-2961
Entity
Organization

Contact information

Practice address
160 E, MAIN ST, MT VERNON, KY 40456-0609
(606) 256-2961
(606) 256-3562
Mailing address
PO BOX 609, MT VERNON, KY 40456
(606) 256-2961
(606) 256-3562

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17377
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000064717
ANTHEM BCBS
KY
01
080139245
RAILROAD MC
KY
05
64173776
KY
Enumeration date
10/23/2006
Last updated
04/01/2011
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