Healthcare Provider Details

I. General information

NPI: 1215000245
Provider Name (Legal Business Name): LAURA ANNE GRIFFITH AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COVEY DR STE 302
FRANKLIN TN
37067-5665
US

IV. Provider business mailing address

111 33RD AVE S APT 103
NASHVILLE TN
37212-3241
US

V. Phone/Fax

Practice location:
  • Phone: 615-591-6410
  • Fax:
Mailing address:
  • Phone: 615-714-9188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0000001466
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: