Provider Demographics
NPI:1366410532
Name:GRIFFIN, ELIZABETH H (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:H
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OLD MONTGOMERY HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8401
Mailing Address - Country:US
Mailing Address - Phone:205-949-1900
Mailing Address - Fax:205-949-1919
Practice Address - Street 1:10 OLD MONTGOMERY HWY
Practice Address - Street 2:STE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-8401
Practice Address - Country:US
Practice Address - Phone:205-949-1900
Practice Address - Fax:205-949-1919
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110153279OtherMEDICARE ID/RRM PIN
FL252302700Medicaid
FLG55397Medicare UPIN
FL252302700Medicaid