Provider Demographics
NPI:1841020310
Name:GRIFFITH, TISHA WRIGHT
Entity type:Individual
Prefix:
First Name:TISHA
Middle Name:WRIGHT
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:PO BOX 2291
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-2291
Mailing Address - Country:US
Mailing Address - Phone:828-412-2194
Mailing Address - Fax:
Practice Address - Street 1:68 S MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4562
Practice Address - Country:US
Practice Address - Phone:828-412-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other