Provider Demographics
NPI:1801898416
Name:GRIFFITTS, SHARON G (MD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:G
Last Name:GRIFFITTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5311
Mailing Address - Country:US
Mailing Address - Phone:256-767-1779
Mailing Address - Fax:256-767-1780
Practice Address - Street 1:503 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5311
Practice Address - Country:US
Practice Address - Phone:256-767-1779
Practice Address - Fax:256-767-1780
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21438207P00000X
ALMD.21438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000055029Medicaid
AL051055029OtherBCBSA