Individual
MR. GERALD M. GRIFFITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 WHEATLEY DR, AMERICUS, GA 31709-3788
(229) 924-6011
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00159120
RAILROAD MEDICARE
GA
Enumeration date
06/14/2006
Last updated
07/08/2007
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