MEDICARE: SHARON G GRIFFITTS M.D.

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	207P00000X	Emergency Medicine Physician	21438	AL
2	207Q00000X	Family Medicine Physician	MD.21438	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	051055029	OTHER	AL	BCBSA

General Provider Information

NPI Number	:	1801898416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON G GRIFFITTS M.D.

Provider Business Mailing Address
First Line	:	503 W COLLEGE ST
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-5311
Country	:	US
Telephone Number	:	256-767-1779
Fax Number	:	256-767-1780

Provider Business Practice Location Address
First Line	:	503 W COLLEGE ST
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-5311
Country	:	US
Telephone Number	:	256-767-1779
Fax Number	:	256-767-1780

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	03/23/2022

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