Provider Demographics
NPI:1154332443
Name:GRIFFIN, LOUIE HANNAH JR (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIE
Middle Name:HANNAH
Last Name:GRIFFIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BRANSFORD PL
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904
Mailing Address - Country:US
Mailing Address - Phone:706-823-2244
Mailing Address - Fax:706-823-3983
Practice Address - Street 1:1 FREEDOM WAY
Practice Address - Street 2:ROOM 4C125
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-6258
Practice Address - Country:US
Practice Address - Phone:706-823-2244
Practice Address - Fax:706-823-3983
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA101772086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery