| Dauda A Griffin, MD | |
|
101 Beckett Ln, Suite 304, Fayetteville, GA 30214-7155 | |
| (678) 519-4142 | |
| (678) 519-4412 |
| Full Name | Dauda A Griffin |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 101 Beckett Ln, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710924998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 057468 (Georgia) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 057468 (Georgia) | Secondary |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dauda A Griffin, MD 101 Beckett Ln, Suite 304, Fayetteville, GA 30214-7155 Ph: (678) 519-4142 | Dauda A Griffin, MD 101 Beckett Ln, Suite 304, Fayetteville, GA 30214-7155 Ph: (678) 519-4142 |
Gary Bruce Lebendiger, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 |
Shaw Wendi Fortuchang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 110 N Park Dr, Fayetteville, GA 30214 Phone: 770-376-6726 Fax: 770-376-6727 |
Dr. Olufemi Abiodun Taiwo, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 110 Braxton Ct, Fayetteville, GA 30214 Phone: 678-610-7100 Fax: 678-610-7111 |
Mr. Wallace Maxwell Green, PAC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W, Ste.105, Fayetteville, GA 30214 Phone: 770-719-2965 Fax: 770-719-2963 |
Dr. Ana Maria Cuebas, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 715 Bradley Dr, Fayetteville, GA 30214 Phone: 770-358-5252 |
Mr. Virendra V Ranadive, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 115 Sumner Rd Fl 2, Fayetteville, GA 30214 Phone: 770-716-1562 Fax: 770-716-0145 |
Ali Ahmad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 678-633-3500 |