Individual
GRIFFIN KANE BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13341
GA
363A00000X
Physician Assistant
0010-13617
NC
Other
Enumeration date
09/06/2023
Last updated
11/17/2025
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