Provider Demographics
NPI:1265230254
Name:GRIFFIS, BRIELLE MORGAN
Entity type:Individual
Prefix:
First Name:BRIELLE
Middle Name:MORGAN
Last Name:GRIFFIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 DUNLAP AVE
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-4709
Mailing Address - Country:US
Mailing Address - Phone:818-824-1248
Mailing Address - Fax:
Practice Address - Street 1:1861 DUNLAP AVE
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-4709
Practice Address - Country:US
Practice Address - Phone:818-824-1248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide