Scott Griffith, M.d. P.c. | |
120 Keswick Way Johns Creek GA 30022-6315 | |
(770) 410-1186 | |
Not Available |
Full Name | Scott Griffith, M.d. P.c. |
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Speciality | Family Medicine |
Location | 120 Keswick Way, Johns Creek, Georgia |
Authorized Official Name and Position | Scott D Griffith (PRESIDENT) |
Authorized Official Contact | 6782342332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scott Griffith, M.d. P.c. 4310 Johns Creek Pkwy Ste 100 Suwanee GA 30024-6092 Ph: (678) 234-2332 | Scott Griffith, M.d. P.c. 120 Keswick Way Johns Creek GA 30022-6315 Ph: (770) 410-1186 |
NPI Number | 1841748308 |
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Provider Enumeration Date | 09/13/2016 |
Last Update Date | 09/13/2016 |
Medicare PECOS PAC ID | 9032406509 |
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Medicare Enrollment ID | O20160927001904 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841748308 | NPI | - | NPPES |
0051828B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36386 (Georgia) | Primary |
Provider Name | Scott Griffith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124035290 PECOS PAC ID: 4385744846 Enrollment ID: I20110720000512 |
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