Healthcare Provider Details

I. General information

NPI: 1841507472
Provider Name (Legal Business Name): ROLF PARKER GRIFFITH SR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 ECHOLS AV. S.E.
HUNTSVILLE AL
35801-4125
US

IV. Provider business mailing address

432 ECHOLS AV. S.E.
HUNTSVILLE AL
35801-4125
US

V. Phone/Fax

Practice location:
  • Phone: 256-519-9092
  • Fax: 256-533-0362
Mailing address:
  • Phone: 256-519-9092
  • Fax: 256-533-0362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD6935
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberMD6935
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: