Individual
DR. JOHN G. GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 MIDWAY ST, SUITE 105, BRISTOL, TN 37620-1706
(423) 573-8100
(423) 573-8102
Mailing address
28 MIDWAY ST, BRISTOL, TN 37620-1706
(423) 573-8100
(423) 573-8102
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25475
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007500319
—
VA
01
—
0213340004
DMERC
—
01
—
086649
ANTHEM
VA
01
—
3044711
BLUECROSS BLUESHIELD
TN
05
—
3084126
—
TN
01
—
62086999804
JOHN DEERE
—
Enumeration date
05/19/2006
Last updated
06/26/2014
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