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NPI Code Detail

MEDICARE: DAVID GRIFFITH CRNA

MEDICARE: DAVID GRIFFITH 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 Anesthetist4704222896MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2430F364420OTHERMIBCBSM

General Provider Information

NPI Number : 1659348761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GRIFFITH CRNA
Provider Business Mailing Address
First Line : 1024 MURANDY LN
Second Line :
City : MATTHEWS
State : NC
Zip : 28104-8052
Country : US
Telephone Number : 704-684-1219
Fax Number :
Provider Business Practice Location Address
First Line : 2001 VAIL AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-1219
Country : US
Telephone Number : 704-379-5765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 07/08/2007

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