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Individual

MICHAEL A GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
206 MEDICAL CARE WAY, DOTHAN, AL 36303
(334) 794-8797
(334) 479-0658
Mailing address
206 MEDICAL CARE WAY, DOTHAN, AL 36303
(133) 479-4879
(334) 479-0658

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
S774-TA-431
AL
152W00000X
Optometrist
Primary
S774TA431
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127692
AL
05
127693
AL
01
1497052591
GROUP NPI
Enumeration date
07/11/2006
Last updated
08/31/2021
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