Individual
BRENDA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 SUMMERLIN BLVD, NEWNAN, GA 30265-6272
(770) 637-2207
Mailing address
6112 PARK CLOSE, FAIRBURN, GA 30213-4674
(404) 992-7118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002504
GA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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