Individual
MR. GRIFFIN NMN DATCHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-1376
Mailing address
902 N 13TH ST, TEMPLE, TX 76501-2523
(254) 778-3610
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10147792
GA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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