Griggs, Lisa Irene

Griggs, Lisa Irene is an individual health care provider with primary practice located at 902 Clark St , Dalton GA 30720-8721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Griggs, Lisa Irene can be contacted via phone (706) 529-3245.

Contact Information

Primary practice address
902 Clark St Dalton GA 30720-8721
Phone: (706) 529-3245
Fax: (706) 272-6077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 056715 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD447136 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38669 Tennessee

Profile Details

NPI number 1073563250
LBN Legal business name Griggs, Lisa Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 21st, 2022 - about 4 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 1073563250 NPPES
Georgia MEDICAID 003110832

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