| Alesia W Griffin Md Pc | |
|
1413 Kempsville Rd Chesapeake VA 23320-8134 | |
| (757) 366-0692 | |
| (757) 366-9118 |
| Full Name | Alesia W Griffin Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1413 Kempsville Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Alesia Wright Griffin (OWNER) |
| Authorized Official Contact | 7573660692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alesia W Griffin Md Pc Po Box 13129 Chesapeake VA 23325-0129 Ph: (757) 366-0692 | Alesia W Griffin Md Pc 1413 Kempsville Rd Chesapeake VA 23320-8134 Ph: (757) 366-0692 |
| NPI Number | 1801821731 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 5597720003 |
|---|---|
| Medicare Enrollment ID | O20041123001323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801821731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101227850 (Virginia) | Primary |
| Provider Name | Alesia W Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720006588 PECOS PAC ID: 6406811918 Enrollment ID: I20041129000162 |
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