Provider Demographics
NPI:1619235355
Name:GRIFFITH, ROBERT DENISON (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DENISON
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 1:6311 KINGSTON PIKE STE 22E
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4900
Mailing Address - Country:US
Mailing Address - Phone:865-588-1361
Mailing Address - Fax:865-584-7087
Practice Address - Street 1:6311 KINGSTON PIKE STE 22E
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-588-1361
Practice Address - Fax:865-584-7087
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN57954207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology