Individual
TENAE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
407 W KING ST, KINGS MOUNTAIN, NC 28086-3345
(704) 730-8461
Mailing address
407 W KING ST, KINGS MOUNTAIN, NC 28086-3345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5011236
NC
363LF0000X
Family Nurse Practitioner
5011236
NC
363LP2300X
Primary Care Nurse Practitioner
5011236
NC
Other
Enumeration date
11/22/2018
Last updated
07/24/2019
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