Shanta L. Griffin in Southaven - Foot & Ankle Surgery
Shanta L. Griffin - NPI 1588827109
Shanta L. Griffin is a Foot & Ankle Surgery in Southaven, Mississippi. Shanta L. Griffin practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Shanta L. Griffin is 1588827109. The last update date is 2022-05-03.
Shanta L. Griffin's current location address is Po Box 21, Southaven, Mississippi. You can contact this provider via phone number 9015005103 and fax number 9013109117. The mailing address for Shanta L. Griffin is Po Box 21, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanta L. Griffin |
|---|---|
| Address | Po Box 21, Southaven, Mississippi |
| Phone Number | 9015005103 |
| Fax Number | 9013109117 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1588827109 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2022-05-03 |
Provider Mailing Address Detail
| Address | Po Box 21 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386710001 |
| Phone Number | 9015005103 |
| Fax Number | 9013109117 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | POD001121 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1521566 | TN | -- | |
| 103I482540 | TN | MEDICARE PTAN |
Post Comment/ Review Below
What is the Shanta L. Griffin's unique identification number?
The Shanta L. Griffin has been assigned the NPI (National Provider Identifier) Number 1588827109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shanta L. Griffin is geographically located?
The Shanta L. Griffin is physically situated at the following location: Po Box 21, Southaven, MS, 386710001.
What is the Shanta L. Griffin's specialty and taxonomy code?
The Shanta L. Griffin's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588827109 to Shanta L. Griffin?
The Centers for Medicare & Medicaid Services originally issued the 1588827109 to Shanta L. Griffin on 2008-07-03.
When was the information pertaining to Shanta L. Griffin most recently updated or revised?
The details related to Shanta L. Griffin, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-03.
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