Individual
CHARLES PARKER GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1062 FORSYTH ST STE 1B, MACON, GA 31201-8638
(478) 741-1208
Mailing address
1062 FORSYTH ST STE 1B, MACON, GA 31201-8638
(478) 741-1208
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN136597
GA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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