Provider Demographics
NPI:1649373150
Name:GRIFFIN, JAMES L JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:GRIFFIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR # 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:
Practice Address - Street 1:6350 STEVENS FOREST RD STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3240
Practice Address - Country:US
Practice Address - Phone:443-259-3780
Practice Address - Fax:443-259-3775
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2018-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD41422207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD122221000Medicaid
MD122221000Medicaid
C42785Medicare UPIN