Individual
AMY M GRIFFING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 DILLARD HEIGHTS DR, BETHLEHEM, GA 30620-7702
(678) 887-9221
Mailing address
1402 DILLARD HEIGHTS DR, BETHLEHEM, GA 30620-7702
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT
—
Enumeration date
06/17/2020
Last updated
06/17/2020
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