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CC GRIGGS HOLDING LTD. NPI 1114024486


NPI Information

NPI: 1114024486
Provider Name: CC GRIGGS HOLDING, LTD.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
18455 JAMES COUZENS FWY
DETROIT, MI
ZIP 48235
Phone: (313) 341-7870
Get Directions

CC GRIGGS HOLDING, LTD. is a nephrology internal medicine in Detroit, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CC GRIGGS HOLDING, LTD. NPI is 1114024486. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18455 JAMES COUZENS FWY
DETROIT, MI
ZIP 48235-506
Phone: (313) 341-7870
Fax: (313) 341-7950

The provider's authorized official is Cynthia Claudine Griggs .
The authorized official title is Owner and has the following contact phone number (313) 341-7870.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine4030161868MICHIGANNo
2207RN0300XInternal MedicineNephrology4030161868MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G77844MEDICARE UPINMICHIGAN
20N99310MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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