Organization
GRIFFIN FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H. VU (PRESIDENT)
(770) 467-8811
Entity
Organization
Contact information
Practice address
100 PECAN POINT, SUITE A, GRIFFIN, GA 30223
(770) 467-8811
Mailing address
PO BOX 229, GRIFFIN, GA 30224-0006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
040813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040813
LGA LICENSE #
GA
Enumeration date
02/22/2007
Last updated
09/22/2008
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