Provider Demographics
NPI:1215225206
Name:GRIFFIN, JAMES CLIFTON (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CLIFTON
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8897 HIWASSEE ST NW
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:TN
Mailing Address - Zip Code:37310-5367
Mailing Address - Country:US
Mailing Address - Phone:423-336-5522
Mailing Address - Fax:423-336-5501
Practice Address - Street 1:8897 HIWASSEE ST NW
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:TN
Practice Address - Zip Code:37310-5367
Practice Address - Country:US
Practice Address - Phone:423-336-5522
Practice Address - Fax:423-336-5501
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000010361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist