Provider Information for 1730773342
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GLYNN GRIGGS LPC
Sex: Male
NPI: 1730773342
Last Updated: 2021-02-24
Certification Date: 2021-02-24
Certification Date: 2021-02-24
Details
| Name | Value | ||||||||
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| NPI | 1730773342 | ||||||||
| Enumeration Date | 2021-02-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 179 BOXWOOD DR FRANKLIN, TN 37069 United States Phone: 615-574-8929 | Fax: | ||||||||
| Primary Practice Address | 179 BOXWOOD DR FRANKLIN, TN 37069-3706 United States Phone: 615-574-8929 | Fax: | ||||||||
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