| Martha A. Griswold Md Pc | |
|
507 S Sycamore St Petersburg VA 23803-5037 | |
| (804) 861-8444 | |
| (804) 862-1582 |
| Full Name | Martha A. Griswold Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 507 S Sycamore St, Petersburg, Virginia |
| Authorized Official Name and Position | Martha A. Griswold (OWNER) |
| Authorized Official Contact | 8048618444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha A. Griswold Md Pc 507 S Sycamore St Petersburg VA 23803-5037 Ph: (804) 861-8444 | Martha A. Griswold Md Pc 507 S Sycamore St Petersburg VA 23803-5037 Ph: (804) 861-8444 |
| NPI Number | 1770771248 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770771248 | NPI | - | NPPES |
| 1770771248 | Other | NPI | |
| C10320 | Other | MEDICARE GROUP | |
| 006097812 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101033077 (Virginia) | Primary |
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