Provider Demographics
NPI:1407110315
Name:MORRISSON, GRIFFIN T (MD)
Entity Type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:T
Last Name:MORRISSON
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9735 KINCEY AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9120
Mailing Address - Country:US
Mailing Address - Phone:704-414-2870
Mailing Address - Fax:704-414-2860
Practice Address - Street 1:111 W HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3405
Practice Address - Country:US
Practice Address - Phone:803-796-8515
Practice Address - Fax:803-796-8516
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2021-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN56650208800000X
SC40728208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH400098928Medicare PIN