MEDICARE: DR. LANDON GRIFFITH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0000003593	TN

General Provider Information

NPI Number	:	1225750714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANDON GRIFFITH DC

Provider Business Mailing Address
First Line	:	1746 GENERAL GEORGE PATTON DR UNIT 201
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2935
Country	:	US
Telephone Number	:	615-221-8033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1746 GENERAL GEORGE PATTON DR UNIT 201
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2935
Country	:	US
Telephone Number	:	615-221-8033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	09/13/2022

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