DENISE VESTAL GRIFFIN ORTHOTIC FITTER NPI 1053396853

NPI Information

NPI: 1053396853
Provider Name: DENISE VESTAL GRIFFIN, ORTHOTIC FITTER
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
3010 MAPLEWOOD AVE
STE 116
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 760-2949
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Denise Vestal Griffin, ORTHOTIC FITTER is an orthotic fitter in Winston-salem, NC. The provider is an individual trained in the management of fitting prefabricated orthoses. Denise Vestal Griffin, ORTHOTIC FITTER NPI is 1053396853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3010 MAPLEWOOD AVE
STE 116
WINSTON-SALEM, NC
ZIP 27103-019
Phone: (336) 760-2949
Fax: (336) 760-0112

The enumeration date for this NPI number is 12/14/2005 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter			SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7795018	MEDICAID	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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