Provider Demographics
NPI:1528027976
Name:GRIFFEY, PAUL M (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:GRIFFEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:560 KEMPSVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3621
Mailing Address - Country:US
Mailing Address - Phone:757-410-9500
Mailing Address - Fax:757-410-9507
Practice Address - Street 1:560 KEMPSVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3621
Practice Address - Country:US
Practice Address - Phone:757-410-9500
Practice Address - Fax:757-410-9507
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2013-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101056178207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010050561Medicaid
NC89063C2Medicaid
NC89063C2Medicaid
VA010050561Medicaid
VA002482C83Medicare PIN