Organization
T4T
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY M GRIFFIS NP (NURSE PRACTITIONER)
(815) 354-7442
Entity
Organization
Contact information
Practice address
104 W COURT AVE, SELMER, TN 38375-2102
(833) 835-3436
Mailing address
38 SJ HICKERSON RD, TRENTON, TN 38382-9262
(815) 354-7442
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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