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NPI Code Detail

MEDICARE: MRS. CYNTHIA LEE GRIFFITH RN, MHS, CRNA

MEDICARE: MRS. CYNTHIA LEE GRIFFITH RN, MHS, CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN138073GA

General Provider Information

NPI Number : 1336108091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA LEE GRIFFITH RN, MHS, CRNA
Provider Business Mailing Address
First Line : 4488 RIDGE PINE DR
Second Line :
City : EVANS
State : GA
Zip : 30809-4499
Country : US
Telephone Number : 706-854-0751
Fax Number :
Provider Business Practice Location Address
First Line : 2855 OLD HIGHWAY 5
Second Line :
City : BLUE RIDGE
State : GA
Zip : 30513-6248
Country : US
Telephone Number : 706-946-4206
Fax Number : 706-946-4430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 05/18/2016

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