MEDICARE: VICKY J GRIFFIN DO

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
1	207V00000X	Obstetrics & Gynecology Physician	OS7118	FL
2	207V00000X	Obstetrics & Gynecology Physician	301024	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	160043622	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A341	OTHER	FL	HEALTH FIRST NETWORK
2	59155862	OTHER	AL	BLUE CROSS BLUE SHIELD
3	44674	OTHER	FL	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619952900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKY J GRIFFIN DO

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 MARGUERITE ST
Second Line	:
City	:	MORGAN CITY
State	:	LA
Zip	:	70380-1850
Country	:	US
Telephone Number	:	985-221-4400
Fax Number	:	985-221-4404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	09/14/2020

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Directions to “ VICKY J GRIFFIN DO” Practice Location

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