Individual
LAURIE JANELL GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
823
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008236
—
SC
01
—
576007863095
BCBS OF SC
SC
01
—
P00682412
RR MEDICARE
SC
Enumeration date
11/07/2006
Last updated
01/12/2021
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