Provider Demographics
NPI:1629041587
Name:GRIFFITH, JAMES LAMONT (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LAMONT
Last Name:GRIFFITH
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 1:2150 PENNSYLVANIA AVENUE NW
Mailing Address - Street 2:SUITE 10 409A
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-741-3398
Mailing Address - Fax:202-741-3396
Practice Address - Street 1:2150 PENNSYLVANIA AVENUE NW
Practice Address - Street 2:MEDICAL FACULTY ASSOCIATES INC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-741-2900
Practice Address - Fax:202-741-2891
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD207912084P2900X
VA01010552002084P2900X
MS076572084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0D7114095Medicaid
MD12359150DMedicaid
C47931Medicare UPIN
MD12359150DMedicaid