Organization
GREG GRIFFIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG GRIFFIN MA, BCPC, REV. (OWNER)
(770) 310-7190
Entity
Organization
Contact information
Practice address
3827 ROSWELL RD STE 104, MARIETTA, GA 30062-6297
(770) 310-7190
Mailing address
3827 ROSWELL RD STE 104, MARIETTA, GA 30062-6297
(770) 615-7800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
05099410
GA
Other
Enumeration date
05/17/2018
Last updated
08/13/2024
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