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Organization

GRIFFIN FAMILY MEDICAL CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ANN GRIFFIN CFNP (OWNER/PROVIDER)
(601) 854-8002
Entity
Organization

Contact information

Practice address
507 HIGHWAY 80, PELAHATCHIE, MS 39145-2786
(601) 854-8002
(601) 854-7333
Mailing address
PO BOX 926, PELAHATCHIE, MS 39145-0926
(601) 854-8002
(601) 854-7333

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851997
MS

Other

Enumeration date
12/21/2015
Last updated
12/21/2015
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