Healthcare Provider Details

I. General information

NPI: 1861534802
Provider Name (Legal Business Name): JOSEPH FRANCIS GRIFFIN III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1677 EAST CLIFTON RD
ATLANTA GA
30307-1289
US

IV. Provider business mailing address

1677 EAST CLIFTON RD
ATLANTA GA
30307-1289
US

V. Phone/Fax

Practice location:
  • Phone: 404-303-7233
  • Fax:
Mailing address:
  • Phone: 404-303-7233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number023361
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: