Provider Demographics
NPI:1932652153
Name:GRIFFEY, MELANIE (CD MADRIELLA)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:GRIFFEY
Suffix:
Gender:F
Credentials:CD MADRIELLA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CLOUD SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30741-3464
Mailing Address - Country:US
Mailing Address - Phone:423-356-0860
Mailing Address - Fax:
Practice Address - Street 1:134 CLOUD SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30741-3464
Practice Address - Country:US
Practice Address - Phone:423-356-0860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula