Provider Demographics
NPI:1396893921
Name:GRIFFIN, DONALD W (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:W
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4322 HARDING PIKE
Mailing Address - Street 2:STE 314
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2490
Mailing Address - Country:US
Mailing Address - Phone:615-321-1003
Mailing Address - Fax:615-321-1876
Practice Address - Street 1:4322 HARDING PIKE
Practice Address - Street 2:STE 314
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2490
Practice Address - Country:US
Practice Address - Phone:615-321-1003
Practice Address - Fax:615-321-1876
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2011-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD021852208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNF46794Medicare UPIN
TN3072451Medicare ID - Type Unspecified