Basic Information
Provider Information
NPI: 1962599670
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRIFFIN
FirstName: DAVID
MiddleName: BRITT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 927 FRANKLIN ST SE
Address2: THE ORTHOPAEDIC CENTER
City: HUNTSVILLE
State: AL
PostalCode: 358014306
CountryCode: US
TelephoneNumber: 2565392728
FaxNumber: 2564283423
Practice Location
Address1: 927 FRANKLIN ST SE
Address2: THE ORTHOPAEDIC CENTER
City: HUNTSVILLE
State: AL
PostalCode: 358014306
CountryCode: US
TelephoneNumber: 2565392728
FaxNumber: 2564283423
Other Information
ProviderEnumerationDate: 10/06/2006
LastUpdateDate: 09/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0801X25448ALY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma

ID Information
IDTypeStateIssuerDescription
P0010003801ALRAILROAD MEDICAREOTHER
51062219201ALTRICAREOTHER
00993155505AL MEDICAID
05151775301ALBCBSOTHER
586336701ALAETNAOTHER
09-0035801ALUNITED HEALTHCAREOTHER


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