Individual
RICHARD L GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE, SUITE 230, MARIETTA, GA 30060-7282
(678) 797-8201
Mailing address
790 CHURCH ST NE, SUITE 250, MARIETTA, GA 30060-7282
(678) 797-8201
(678) 290-8325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036763
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000531968C
—
GA
01
—
320122
WELLCARE
GA
01
—
P00161296
RAILROAD MEDICARE
GA
Enumeration date
08/22/2005
Last updated
12/17/2009
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