Individual
MR. JOE ASA GRIFFIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
513 S DARGAN STREET, FLORENCE, SC 29506-2549
(843) 664-1122
(843) 664-1805
Mailing address
PO BOX 350, FLORENCE, SC 29503-0350
(843) 664-1122
(843) 664-1805
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
14678
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GP3789
MEDICAID GROUP
SC
Enumeration date
05/05/2006
Last updated
08/04/2010
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