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NPI Code Detail

MEDICARE: DR. ROBERT D GRIFFITH MD

MEDICARE: DR. ROBERT D GRIFFITH MD
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
1207N00000XDermatology Physician00010303AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2051080778OTHERALBCBS AL

General Provider Information

NPI Number : 1265472195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT D GRIFFITH MD
Provider Business Mailing Address
First Line : 4410 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5204
Country : US
Telephone Number : 205-345-1520
Fax Number : 205-345-1761
Provider Business Practice Location Address
First Line : 4410 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5204
Country : US
Telephone Number : 205-345-1520
Fax Number : 205-345-1761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 10/08/2010

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Directions to “ DR. ROBERT D GRIFFITH MD” Practice Location

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