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General NPI Number Information
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NPI Number | 1316390339
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Entity Type | Individual
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Provider Name | CHRISTIE LONG GRIFFIN APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1602 MADISON AVE
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City | TIFTON
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State | GA
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Zip | 31794-3756
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Country | US
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Telephone | 229-391-4426
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Fax |
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Provider Business Mailing Address
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Address Line | 907 18TH ST E STE 400
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City | TIFTON
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State | GA
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Zip | 31794-3684
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Country | US
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Telephone | 229-353-3422
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Fax | 229-353-6060
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP172091
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License Number State | GA
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