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Individual

SAMUEL CARSON GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2601 REYNOLDA RD, WINSTON SALEM, NC 27106-3863
(704) 467-5844
Mailing address
2601 REYNOLDA RD, WINSTON-SALEM, NC 27106-9885
(704) 467-5844

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4288
NC

Other

Enumeration date
11/03/2015
Last updated
11/03/2015
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