Griffin, Charles W

Griffin, Charles W is an individual health care provider with primary practice located at 2225 Us Hwy 41 N , Tifton GA 31794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Griffin, Charles W can be contacted via phone (229) 391-4100.

Contact Information

Primary practice address
2225 Us Hwy 41 N Tifton GA 31794
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35428 Georgia

Profile Details

NPI number 1083618847
LBN Legal business name Griffin, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 31st, 2010 - about 15 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 1083618847 NPPES
Georgia MEDICAID 00616613B

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