Healthcare Provider Details

I. General information

NPI: 1720975063
Provider Name (Legal Business Name): TIFFANY GRIFFIN CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7122 FOREST HILL AVE STE E
RICHMOND VA
23225-1542
US

IV. Provider business mailing address

7122 FOREST HILL AVE STE E
RICHMOND VA
23225-1542
US

V. Phone/Fax

Practice location:
  • Phone: 443-769-0463
  • Fax:
Mailing address:
  • Phone: 443-769-0463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: