Organization
GRIFFIN CHIROPRACTIC CLINIC, INC.
Active
Other names
Gainesville Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD STANLEY GRIFFIN SR. D.C. (OWNER, PRESIDENT)
(770) 532-4084
Entity
Organization
Contact information
Practice address
700 S ENOTA DR NE, SUITE 201, GAINESVILLE, GA 30501-2403
(770) 532-4084
Mailing address
700 S ENOTA DR NE, SUITE 201, GAINESVILLE, GA 30501-2403
(770) 532-4084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2451
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCBZL
MEDICARE PTAN
GA
Enumeration date
12/21/2011
Last updated
12/21/2011
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