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Individual

HENRY RANDALL GRIFFITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
400 VESTAVIA PKWY STE 130, VESTAVIA, AL 35216-3750
(205) 823-2373
(205) 823-2378
Mailing address
3438 CHAPEL HILLS PKWY, FULTONDALE, AL 35068-6081
(205) 948-7183
(205) 719-4233

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1222
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051519003
BLUE CROSS
AL
05
051554327
AL
01
P00226576
RAILROAD MEDICARE
AL
Enumeration date
08/04/2006
Last updated
01/12/2024
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