Provider Demographics
NPI:1952322406
Name:GRIFFITHS, WILLIAM OWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:OWEN
Last Name:GRIFFITHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 HARPS MILL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3240
Mailing Address - Country:US
Mailing Address - Phone:919-845-2125
Mailing Address - Fax:919-845-2185
Practice Address - Street 1:7021 HARPS MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3240
Practice Address - Country:US
Practice Address - Phone:919-845-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911338Medicaid
NC2257640GMedicare PIN
G77807Medicare UPIN
NC2257640HMedicare PIN