Carmilla Griffin
Individual provider Active NPI Contractor · Latta, SC
NPI 1376428805 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1376428805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 301 Willis St
Latta, SC 29565-1739 - Phone
- (843) 773-1401
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
301 Willis St
Latta, SC 29565-1739
Mailing address
214 E McIntyre St Unit 1022
Mullins, SC 29574-3618
Phone (843) 773-1401
Other providers in Latta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.