Individual
LASONYA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(966) 389-2727
Mailing address
333 BUXTON DR, GIRARD, GA 30426-4306
(706) 871-3828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18790
SC
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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