Most Relevant Information
Provider Data
| NPI Number: | 1003062506 |
| Provider Name: | BEVERLY GRIGGS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2008 |
| Last Updated: | 08/15/2008 |
Provider Practice Location
1812 LORENE ST
EL DORADO
AR
717308129
Practice Location Phone/Fax
| Phone: | 8708638133 |
| Fax: | 8708634111 |
Provider Mailing Location
715 N COLLEGE AVE
EL DORADO
AR
717304403
Provider Mailing Phone/Fax
| Phone: | 8708627921 |
| Fax: | 8708642490 |