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NPI Code Detail

MEDICARE: JOHN C GRIGGS JR.

MEDICARE: JOHN C GRIGGS JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker0906015159VA

General Provider Information

NPI Number : 1235972571
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN C GRIGGS JR.
Provider Business Mailing Address
First Line : 6603 IRONGATE SQ
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6081
Country : US
Telephone Number : 804-743-0960
Fax Number :
Provider Business Practice Location Address
First Line : 6603 IRONGATE SQ
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6081
Country : US
Telephone Number : 804-743-0960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2024
Last Update Date : 06/14/2024

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Directions to “ JOHN C GRIGGS JR. ” Practice Location

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