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NPI Code Detail

MEDICARE: EUGENE WILSON GRIFFIN III M.D.

MEDICARE: EUGENE WILSON GRIFFIN III M.D.
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
1207Q00000XFamily Medicine Physician23845NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12483OTHERNCPARTNERS
234629OTHERNCMEDCOST
337238OTHERNCBCBSNC
44254794OTHERNCAETNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871609263
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE WILSON GRIFFIN III M.D.
Provider Business Mailing Address
First Line : 4000 S SWAIM STREET EXT
Second Line :
City : JONESVILLE
State : NC
Zip : 28642-9418
Country : US
Telephone Number : 336-835-6300
Fax Number : 336-835-4761
Provider Business Practice Location Address
First Line : 4000 S SWAIM STREET EXT
Second Line :
City : JONESVILLE
State : NC
Zip : 28642-9418
Country : US
Telephone Number : 336-835-6300
Fax Number : 336-835-4761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

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