Provider Demographics
NPI:1235167990
Name:GRIFFITH, ROBERT FINCH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FINCH
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S SHADY ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37683-2021
Mailing Address - Country:US
Mailing Address - Phone:423-727-1103
Mailing Address - Fax:423-727-1140
Practice Address - Street 1:1901 S SHADY ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN CITY
Practice Address - State:TN
Practice Address - Zip Code:37683-2021
Practice Address - Country:US
Practice Address - Phone:423-727-1103
Practice Address - Fax:423-727-1140
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33835207R00000X
TN46611207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN196100OtherBCBS TN
VA1235167990Medicaid
TNQ010003Medicaid
TN4013956Medicaid
NCE81547Medicare UPIN
TN4013956Medicaid
VA1235167990Medicaid