| Robert Carl Griffith Md | |
|
6311 Kingston Pike Ste 22e Knoxville TN 37919-4900 | |
| (865) 588-1361 | |
| Not Available |
| Full Name | Robert Carl Griffith Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 6311 Kingston Pike Ste 22e, Knoxville, Tennessee |
| Authorized Official Name and Position | Jill Keally (ADMIN) |
| Authorized Official Contact | 8134166438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Carl Griffith Md 6311 Kingston Pike Ste 22e Knoxville TN 37919-4900 Ph: (865) 588-1361 | Robert Carl Griffith Md 6311 Kingston Pike Ste 22e Knoxville TN 37919-4900 Ph: (865) 588-1361 |
| NPI Number | 1740752906 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 09/08/2020 |
| Medicare PECOS PAC ID | 8729408034 |
|---|---|
| Medicare Enrollment ID | O20201026000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740752906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Robert Griffith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689758138 PECOS PAC ID: 2062689490 Enrollment ID: I20120125000466 |
| Provider Name | Robert D Griffith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619235355 PECOS PAC ID: 0749533958 Enrollment ID: I20181105001396 |
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