Griffin E Mizell Jr, DDS is a
Dentist - General Practice based in Mc Rae, Georgia. Griffin E Mizell Jr is licensed to practice in Georgia (license number 9762) and his current practice location is
100 W Parsonage St, Mc Rae, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 868-6615.
NPI number for Griffin E Mizell Jr is 1699791756 and his current mailing address is Po Box 128, Mc Rae, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699791756.
Healthcare Provider's Profile
| Full Name | Griffin E Mizell Jr |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 100 W Parsonage St, Mc Rae, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699791756
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Griffin E Mizell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699791756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 9762 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Griffin E Mizell Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Griffin E Mizell Jr, DDS
Po Box 128,
Mc Rae, GA 31055-0128
Ph: (229) 868-6615 | Griffin E Mizell Jr, DDS
100 W Parsonage St,
Mc Rae, GA 31055-1735
Ph: (229) 868-6615 |
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