Provider Demographics
NPI:1114363462
Name:GRIFFITH, ZACHARY (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2115 CLOYD BLVD SUITE 8
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1503
Mailing Address - Country:US
Mailing Address - Phone:256-766-0150
Mailing Address - Fax:256-764-4638
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0534
Practice Address - Country:US
Practice Address - Phone:409-772-1369
Practice Address - Fax:409-772-0557
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL37038208600000X
TXBP10046336208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery