Griggs, Gerald A

Griggs, Gerald A is an sole proprietor health care provider with primary practice located at 201 Pat A Haralson Drive 201 Pat A Haralson Drive, Blairsville GA 30514-0760. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Griggs, Gerald A can be contacted via phone (706) 745-9999.

Contact Information

Primary practice address
201 Pat A Haralson Drive 201 Pat A Haralson Drive Blairsville GA 30514-0760
Fax: (706) 745-9997
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012844 Georgia

Profile Details

NPI number 1932255080
LBN Legal business name Griggs, Gerald A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 9th, 2007 - about 19 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 1932255080 NPPES
Georgia MEDICAID 712404964A
Georgia Other 9182381

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