Individual
JONATHAN N GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1108 N MAIN ST, CEDARTOWN, GA 30125-2039
(706) 236-2774
(706) 802-1408
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8254
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212662019A,B,C,D,E,F
—
GA
Enumeration date
07/07/2005
Last updated
07/26/2011
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