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Christina Leung Griffith

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTINA GRIFFITH.

Based on the most recent information from CMS, provider Christina Leung Griffith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154878205
Provider Type
Individual
Full Name
Griffith, Christina Leung
Gender
Female

Sole Proprietor
No
Enumeration Date
9/7/2016
Last Updated
7/21/2021

Contact Information

Practice Location

11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821

(980) 308-0169

(980) 308-0173

Mailing Location

PO Box 601843, Charlotte, NC 28260-1843

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-06710 North Carolina

Christina Leung Griffith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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