Provider Demographics
NPI:1215725155
Name:GRIGGS, TAMMY RENEE (COMMERCIAL DRIVER'S)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:RENEE
Last Name:GRIGGS
Suffix:
Gender:
Credentials:COMMERCIAL DRIVER'S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 CRIMSON CIR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-6912
Mailing Address - Country:US
Mailing Address - Phone:229-379-7267
Mailing Address - Fax:
Practice Address - Street 1:132 CRIMSON CIR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-6912
Practice Address - Country:US
Practice Address - Phone:229-379-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053703403172A00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver