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NPI Code Detail

MEDICARE: WENDY S GRIFFITH PA-C

MEDICARE: WENDY S GRIFFITH PA-C
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
1133V00000XRegistered Dietitian944SC
2363AM0700XMedical Physician Assistant1341SC

General Provider Information

NPI Number : 1427209782
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY S GRIFFITH PA-C
Provider Business Mailing Address
First Line : PO BOX 41189
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29423-1189
Country : US
Telephone Number : 843-747-4313
Fax Number : 843-884-6146
Provider Business Practice Location Address
First Line : 3100 TRADITION CIR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29466-7200
Country : US
Telephone Number : 843-747-4313
Fax Number : 843-884-6146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 09/26/2024

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Directions to “ WENDY S GRIFFITH PA-C” Practice Location

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