Individual
MS. ELAINE D. GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8033 OUSLEY RD, VALDOSTA, GA 31601-1011
(229) 253-8415
(229) 249-9976
Mailing address
707 THORNBROOKE CT, VALDOSTA, GA 31602-1391
(229) 630-0254
(229) 630-0254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001107
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000567564C
—
GA
Enumeration date
07/11/2006
Last updated
07/11/2019
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