REBECCA A. GRIGGS NPI 1528470630

NPI Information

REBECCA A. GRIGGS is a health service clinic center in Jackson, TN. REBECCA A. GRIGGS NPI is 1528470630. The provider is registered as an organization entity type.
The provider Is Doing Business As Hope Medical Clinic.

The provider's business location address is:

21 SECURITY DR
JACKSON, TN
ZIP 38305-626
Phone: (731) 661-9163
Fax: (731) 664-9916

The provider's authorized official is Rebecca Anne Griggs .
The authorized official title is Sole Proprietor and has the following contact phone number (731) 661-9163.

The CLIA number assigned to this NPI record is 44D2078698 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2014 and was last updated on 7/6/2016.

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:

Other Identifiers

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

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