DAKOTA GRIFFIN BRUNSWICK

CONCORD, NC
NPI1275124596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  1010856)
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2021-01-29
Last Update Date2024-04-25
Business Address
DAKOTA GRIFFIN BRUNSWICK PA
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1838
Phone number: 237-424-0704
Mailing Address
DAKOTA GRIFFIN BRUNSWICK PA
3808 RIVERBEND RD
CHARLOTTE, NC 28210-6822
Phone number: 336-905-0685