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Individual

STEPHANIE K GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
323 MEDICAL CENTER DR. S.W., FORT PAYNE, AL 35968-3420
(256) 997-9016
Mailing address
7605 COUNTY ROAD 47, RAINSVILLE, AL 35986
(256) 657-6335

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1071430
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51501391
BCBS OF AL
AL
05
891002050
AL
Enumeration date
10/04/2006
Last updated
01/05/2010
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