NPI 1144887720

Pai Participant 11 PC

Organisation Geriatric Medicine (Internal Medicine) Physician Griffin, GA

Practice location

Address: 415 Airport Rd, Griffin, GA 30224-4834
Phone: (770) 227-8636
Mailing address: PO Box 639676, Cincinnati, OH 45263-9676

Authorised official

Name: Erin N Laird
Title: Authorized Official
Phone: (410) 458-8713

Registered specialties

Geriatric Medicine (Internal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0300X

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1144887720
Entity type: Organization
NPI issued: 20 May 2019
Record last updated: 10 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.