Individual
MR. JACOB RYAN GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4563
(865) 632-5900
Mailing address
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4563
(865) 632-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q030515
—
TN
Enumeration date
01/04/2017
Last updated
08/18/2020
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