Provider Demographics
NPI:1801876693
Name:GRIGGS, TONY M (OPA-C)
Entity type:Individual
Prefix:
First Name:TONY
Middle Name:M
Last Name:GRIGGS
Suffix:
Gender:M
Credentials:OPA-C
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Other - First Name:
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Mailing Address - Street 1:2023 RIDGESTONE LNDG SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-4087
Mailing Address - Country:US
Mailing Address - Phone:770-432-0124
Mailing Address - Fax:
Practice Address - Street 1:5671 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-5000
Practice Address - Country:US
Practice Address - Phone:404-531-8464
Practice Address - Fax:404-531-8530
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2015-05-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant