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General NPI Number Information
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NPI Number | 1376638502
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Entity Type | Individual
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Provider Name | KERRY L GRIFFIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 20 GLENLAKE PARKWAY KAISER PERMANENTE GLENLAKE
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City | SANDY SPRINGS
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State | GA
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Zip | 30328
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Country | US
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Telephone | 251-454-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 1390 CASHIERS WAY
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City | ROSWELL
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State | GA
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Zip | 30075-6860
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Country | US
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Telephone | 251-454-0024
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 62042
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License Number State | GA
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