Griffis, Jared Todd

Griffis, Jared Todd is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Griffis, Jared Todd can be contacted via phone (706) 475-1700.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Phone: (706) 475-1700
Fax: (706) 475-1787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 057469 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 057469 Georgia

Profile Details

NPI number 1356379705
LBN Legal business name Griffis, Jared Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 5th, 2015 - 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 1356379705 NPPES
Georgia MEDICAID 035374241D
Georgia MEDICAID 035374241I
Georgia MEDICAID 035374241J
Georgia Other 00335669
Georgia MEDICAID 035374241C
Georgia MEDICAID 035374241G
Georgia Other 933586
Georgia MEDICAID 035374241A
Georgia MEDICAID 035374241F
Georgia MEDICAID 035374241E
Georgia MEDICAID 035374241H
Georgia Other GRP891

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