Individual
MARK GRIFFIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 NORTH 3RD ST, GLENWOOD, GA 30428-9004
(912) 523-5113
(912) 523-2049
Mailing address
111 N 3RD ST, GLENWOOD, GA 30428-9004
(912) 523-5113
(912) 523-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38140
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00569676D
—
GA
Enumeration date
10/20/2005
Last updated
12/30/2011
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