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General NPI Number Information
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NPI Number | 1336236876
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Entity Type | Individual
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Provider Name | DONALD GRIFFIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 3345 HIGHWAY 34 E SUITE 101
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City | SHARPSBURG
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State | GA
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Zip | 30277-3563
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Country | US
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Telephone | 770-502-8005
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Fax | 770-502-1825
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Provider Business Mailing Address
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Address Line | 290 COUNTRY CLUB DR STE 220
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-9070
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Country | US
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Telephone | 678-284-6300
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Fax | 678-284-6282
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 027820
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License Number State | GA
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