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General NPI Number Information
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NPI Number | 1003113861
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Entity Type | Organization
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Legal Business Name | THOMAS M. GRIGGS MD PC
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 1009 BROOK RIDGE CIR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-1404
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Country | US
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Telephone | 256-881-0284
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Fax | 256-883-4434
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Provider Business Mailing Address
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Address Line | 1009 BROOK RIDGE CIR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-1404
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Country | US
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Telephone | 256-881-0284
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Fax | 256-883-4434
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS MCKAY GRIGGS
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Credential | MD
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Telephone | 256-881-0284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | AG6853
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License Number State | AL
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