Doctor Name: | MRS. BETTY GRIFFITH |
NPI Number: | 1831447051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 401 N Lakeview Dr Farmerville, LA - 712412521 |
Business Phone Number: | 3183687266 |
Business Fax Number: | 5013256683 |
Mailing Address: | 401 N Lakeview Dr, FARMERVILLE |
State: | LA |
Postal Code: | 712412521 |
Phone Number: | 3183687266 |
Fax Number: | 5013256683 |
NPI Enumeration Date: | 08/20/2012 |
NPI Last Update Date: | 08/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |