Provider Demographics
NPI:1831447051
Name:GRIFFITH, BETTY
Entity type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:GRIFFITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:401 N LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-2521
Mailing Address - Country:US
Mailing Address - Phone:318-368-7266
Mailing Address - Fax:501-325-6683
Practice Address - Street 1:401 N LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-2521
Practice Address - Country:US
Practice Address - Phone:318-368-7266
Practice Address - Fax:501-325-6683
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment