| Scott Griffith, M.d. P.c. | |
|
120 Keswick Way Johns Creek GA 30022-6315 | |
| (770) 410-1186 | |
| Not Available |
| Full Name | Scott Griffith, M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Keswick Way, Johns Creek, Georgia |
| Authorized Official Name and Position | Scott D Griffith (PRESIDENT) |
| Authorized Official Contact | 6782342332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Griffith, M.d. P.c. 4310 Johns Creek Pkwy Ste 100 Suwanee GA 30024-6092 Ph: (678) 234-2332 | Scott Griffith, M.d. P.c. 120 Keswick Way Johns Creek GA 30022-6315 Ph: (770) 410-1186 |
| NPI Number | 1841748308 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/13/2016 |
| Medicare PECOS PAC ID | 9032406509 |
|---|---|
| Medicare Enrollment ID | O20160927001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841748308 | NPI | - | NPPES |
| 0051828B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36386 (Georgia) | Primary |
| Provider Name | Scott Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124035290 PECOS PAC ID: 4385744846 Enrollment ID: I20110720000512 |
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