Individual
KEITH EVANS GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 VINNING ST NW, SUITE 101, CONCORD, NC 28027-2942
(704) 316-1040
(704) 316-1041
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1040
(704) 316-1041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8937233
—
NC
Enumeration date
01/26/2006
Last updated
04/20/2023
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