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Individual

MATTHEW LEROY GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LNHA

Contact information

Practice address
293 KING RD, TRACY CITY, TN 37387-4613
(931) 592-9621
(931) 592-9622
Mailing address
615 JOHNNY STIEFEL RD, SEQUATCHIE, TN 37374-6158
(931) 581-3728

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
3905
TN

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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