Provider Demographics
NPI:1629094354
Name:GRIFFITH FAMILY CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:GRIFFITH FAMILY CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:804-501-2280
Mailing Address - Street 1:10170 STAPLES MILL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3450
Mailing Address - Country:US
Mailing Address - Phone:804-501-2280
Mailing Address - Fax:804-501-2281
Practice Address - Street 1:10170 STAPLES MILL RD
Practice Address - Street 2:SUITE C
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3450
Practice Address - Country:US
Practice Address - Phone:804-501-2280
Practice Address - Fax:804-501-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty