Clark, Cathy Griffitts

Clark, Cathy Griffitts is an individual health care provider with primary practice located at 200 Hospital Ave Ste 3 , Jefferson NC 28640-9244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Cathy Griffitts can be contacted via phone (336) 846-7433.

Contact Information

Primary practice address
200 Hospital Ave Ste 3 Jefferson NC 28640-9244
Phone: (336) 846-7433
Fax: (336) 846-7878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0050-02179 North Carolina

Profile Details

NPI number 1215009758
LBN Legal business name Clark, Cathy Griffitts
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Nov 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215009758 NPPES
North Carolina Other 162V5 BCBSNC
North Carolina MEDICAID 7003870 BCBSNC

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