Individual
KEETON CROWDER GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3241
Mailing address
PO BOX 535395, ATLANTA, GA 30353-5321
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209923
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
209923
NC
Other
Enumeration date
06/04/2011
Last updated
11/02/2011
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