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NPI Code Detail

MEDICARE: ANGELICA GRIFFIN

MEDICARE: ANGELICA GRIFFIN
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
1251E00000XHome Health Agency

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 : 1275024788
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA GRIFFIN
Provider Business Mailing Address
First Line : 6000 POPLAR AVE STE 250
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3974
Country : US
Telephone Number : 901-652-8017
Fax Number :
Provider Business Practice Location Address
First Line : 6000 POPLAR AVE STE 250
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3974
Country : US
Telephone Number : 901-652-8017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 05/21/2018

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Directions to “ ANGELICA GRIFFIN ” Practice Location

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