| NPI | 1275872426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY MACK GRIFFIN President 334-274-9861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3420) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2015-02-17 |