Provider Demographics
NPI:1801772215
Name:GRIGGERS, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:GRIGGERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 KENNESAW DUE WEST RD NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-4068
Mailing Address - Country:US
Mailing Address - Phone:770-624-0925
Mailing Address - Fax:
Practice Address - Street 1:735 KENNESAW DUE WEST RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-4068
Practice Address - Country:US
Practice Address - Phone:770-624-0925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program