Griffin, Mary Ann

Griffin, Mary Ann is an individual health care provider with primary practice located at 507 Highway 80 , Pelahatchie MS 39145-2786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Griffin, Mary Ann can be contacted via phone (601) 854-8002.

Contact Information

Primary practice address
507 Highway 80 Pelahatchie MS 39145-2786
Fax: (601) 854-7333
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R851997 Mississippi

Profile Details

NPI number 1518194265
LBN Legal business name Griffin, Mary Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2009
Last updated Apr 26th, 2016 - about 9 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 1518194265 NPPES
Mississippi Other R851997 LICENSE

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