| Cc Griggs Holding, Ltd. | |
|
18455 James Couzens Fwy Detroit MI 48235-2506 | |
| (313) 341-7870 | |
| (313) 341-7950 |
| Full Name | Cc Griggs Holding, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18455 James Couzens Fwy, Detroit, Michigan |
| Authorized Official Name and Position | Cynthia Claudine Griggs (OWNER) |
| Authorized Official Contact | 3133417870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cc Griggs Holding, Ltd. 18455 James Couzens Fwy Detroit MI 48235-2506 Ph: (313) 341-7870 | Cc Griggs Holding, Ltd. 18455 James Couzens Fwy Detroit MI 48235-2506 Ph: (313) 341-7870 |
| NPI Number | 1114024486 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/12/2014 |
| Medicare PECOS PAC ID | 2567421506 |
|---|---|
| Medicare Enrollment ID | O20041006000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114024486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4030161868 (Michigan) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 4030161868 (Michigan) | Primary |
| Provider Name | Cynthia C Griggs |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154421774 PECOS PAC ID: 0345209391 Enrollment ID: I20041215000023 |
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