Organization
GRIFFITH CLINIC A PROFESSIONAL CORPORATION
Active
Other names
GRIFFITH CLINIC PC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN G FEAGANES (BILLING MGR)
(540) 885-1045
Entity
Organization
Contact information
Practice address
5962 COPLE HWY, MOUNT HOLLY, VA 22524-9999
(804) 472-2477
(804) 472-3154
Mailing address
PO BOX 31354, RICHMOND, VA 23294-1354
(804) 472-2477
(804) 472-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101012891
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034169
ANTHEM BLUE CROSS
VA
01
—
080066928
RAILROAD MEDICARE
VA
05
—
5608716
—
VA
Enumeration date
12/24/2007
Last updated
06/01/2011
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