| Organization Name: | GRIFFIN FAMILY MEDICAL CLINIC PA |
| NPI Number: | 1437514262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ANN GRIFFIN (OWNER/PROVIDER) |
| Mailing Address: | 507 Highway 80 Pelahatchie |
| State: | MS US |
| Postal Code: | 391452786 |
| Phone Number: | 6018548002 |
| Fax Number: | 6018547333 |
| NPI Enumeration Date: | 12/21/2015 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R851997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |