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NPI Code Detail

MEDICARE: PATRICK W GRIFFITH MD

MEDICARE:   PATRICK W GRIFFITH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician022626LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194828301
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK W GRIFFITH MD
Provider Business Mailing Address
First Line : 1902 JOHNSON ST
Second Line :
City : JENNINGS
State : LA
Zip : 70546-3628
Country : US
Telephone Number : 337-824-9119
Fax Number : 337-824-7005
Provider Business Practice Location Address
First Line : 1902 JOHNSON ST
Second Line :
City : JENNINGS
State : LA
Zip : 70546-3628
Country : US
Telephone Number : 337-824-9119
Fax Number : 337-824-7005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 03/24/2011

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Directions to “ PATRICK W GRIFFITH MD” Practice Location

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