Doctor Name: | MRS. DOLLY RUTH GRIGGS |
NPI Number: | 1679517676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 133479 |
Business Practice Address: | 7118 Main St Wade, NC - 283959749 |
Business Phone Number: | 9104836696 |
Business Fax Number: | 9104832215 |
Mailing Address: | 39 Queens Ct, ANGIER |
State: | NC |
Postal Code: | 275016597 |
Phone Number: | 9106396959 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 133479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |