Provider Demographics
NPI:1588727291
Name:GRIFFIN, GENE (HEARING INSTR SPEC)
Entity type:Individual
Prefix:MR
First Name:GENE
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:HEARING INSTR SPEC
Other - Prefix:
Other - First Name:MELVIN
Other - Middle Name:GENE
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HEARING INSTR SPEC
Mailing Address - Street 1:5545 NC HIGHWAY 43 N
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6176
Mailing Address - Country:US
Mailing Address - Phone:252-902-6134
Mailing Address - Fax:
Practice Address - Street 1:5545 NC HIGHWAY 43 N
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6176
Practice Address - Country:US
Practice Address - Phone:252-902-6134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1128237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist