Griffin, Elaine D.

Griffin, Elaine D. is an sole proprietor health care provider with primary practice located at 8033 Ousley Rd , Valdosta GA 31601-1011. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Griffin, Elaine D. can be contacted via phone (229) 253-8415.

Contact Information

Primary practice address
8033 Ousley Rd Valdosta GA 31601-1011
Phone: (229) 253-8415
Fax: (229) 249-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT001107 Georgia

Profile Details

NPI number 1821023649
LBN Legal business name Griffin, Elaine D.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 11th, 2019 - about 7 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 1821023649 NPPES
Georgia MEDICAID 000567564C

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