Individual
ANGELA PRAKASH GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 N DECATUR RD, DECATUR, GA 30033-5949
(404) 778-6400
(404) 778-6426
Mailing address
2801 N DECATUR RD, DECATUR, GA 30033-5949
(404) 778-6400
(404) 778-6426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
060142
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904357
—
NC
05
—
N01302
—
SC
Enumeration date
08/20/2006
Last updated
07/28/2015
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