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General NPI Number Information
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NPI Number | 1215859673
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Entity Type | Organization
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Legal Business Name | GRIGGS ANESTHESIA LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 15190 COMMUNITY RD STE 100
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City | GULFPORT
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State | MS
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Zip | 39503-3484
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Country | US
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Telephone | 985-264-2375
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Fax | 985-231-6733
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Provider Business Mailing Address
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Address Line | 14055 MARTIN RD
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City | FOLSOM
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State | LA
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Zip | 70437-3137
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Country | US
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Telephone | 985-264-2375
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Fax | 985-231-6733
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE GRIGGS
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Credential | CRNA
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Telephone | 985-264-2375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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