| Griffith Clinic A Professional Corporation | |
|
5962 Cople Hwy Mount Holly VA 22524-9999 | |
| (804) 472-2477 | |
| (804) 472-3154 |
| Full Name | Griffith Clinic A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 5962 Cople Hwy, Mount Holly, Virginia |
| Authorized Official Name and Position | Robin G Feaganes (BILLING MGR) |
| Authorized Official Contact | 5408851045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffith Clinic A Professional Corporation Po Box 31354 Richmond VA 23294-1354 Ph: (804) 472-2477 | Griffith Clinic A Professional Corporation 5962 Cople Hwy Mount Holly VA 22524-9999 Ph: (804) 472-2477 |
| NPI Number | 1598949745 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598949745 | NPI | - | NPPES |
| 5608716 | Medicaid | VA | |
| 034169 | Other | VA | ANTHEM BLUE CROSS |
| 080066928 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101012891 (Virginia) | Primary |