MEDICARE: MS. BETH ALLISON GRIFFIN PA-C

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
1	363A00000X	Physician Assistant	103622	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1356346688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETH ALLISON GRIFFIN PA-C

Provider Business Mailing Address
First Line	:	2201 S STERLING ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-4044
Country	:	US
Telephone Number	:	828-580-6753
Fax Number	:	828-580-6759

Provider Business Practice Location Address
First Line	:	96 JONATHAN LUCAS ST
Second Line	:	MSC 606 CSB 301
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8900
Country	:	US
Telephone Number	:	843-792-2424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	01/04/2022

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