Provider Demographics
NPI:1043994007
Name:GRIFFIN, SARA FAITH FAITH
Entity type:Individual
Prefix:
First Name:SARA FAITH
Middle Name:FAITH
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 HIGH POINT NORTH RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-4802
Mailing Address - Country:US
Mailing Address - Phone:478-960-7415
Mailing Address - Fax:
Practice Address - Street 1:526 HIGH POINT NORTH RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-4802
Practice Address - Country:US
Practice Address - Phone:478-960-7415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer