Individual
DL GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
523 DIXIE ST STE 1, CARROLLTON, GA 30117-3870
(770) 812-3266
Mailing address
523 DIXIE ST STE 1, CARROLLTON, GA 30117-3870
(678) 877-1849
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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