Organization
FAMILY PRACTICE OF CONYERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN VINCENT GRIFFIN MD (MEDICAL DIRECTOR)
(770) 922-0076
Entity
Organization
Contact information
Practice address
1039 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 922-0076
(770) 922-0734
Mailing address
1039 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 922-0076
(770) 922-0734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412849I
—
GA
Enumeration date
12/05/2006
Last updated
06/20/2023
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