Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | CO005179 | NC |
Y | 222Z00000X | Podiatrist | CO005179 | NC |
NPI | 1013352947 |
---|---|
Provider Name | Lindsey M Griffin |
First Address | Winston-Salem, NC 27114 |
Second Address | Conover, NC 28613-9290 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 31/12/2014 |