Provider Demographics
NPI:1558534560
Name:GRIFFITH, SUMALEE
Entity Type:Individual
Prefix:MS
First Name:SUMALEE
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1093 WILLOW SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-3224
Mailing Address - Country:US
Mailing Address - Phone:423-544-1806
Mailing Address - Fax:
Practice Address - Street 1:206 PRINCETON RD
Practice Address - Street 2:SUITE 31B
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2058
Practice Address - Country:US
Practice Address - Phone:423-544-1806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACU166171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist