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Individual

LAURIE JANELL GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

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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