Provider Demographics
NPI:1144293598
Name:GRIFFITH, WILLIAM A (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4904 TIMBER RIDGE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1828
Mailing Address - Country:US
Mailing Address - Phone:770-949-4000
Mailing Address - Fax:770-942-5311
Practice Address - Street 1:4904 TIMBER RIDGE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1828
Practice Address - Country:US
Practice Address - Phone:770-949-4000
Practice Address - Fax:770-942-5311
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2011-06-27
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Provider Licenses
StateLicense IDTaxonomies
GA040675208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000901194CMedicaid
GA02BDJGHMedicare PIN