Basic Information
| Provider Information | |||||||||
| NPI: | 1629094354 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GRIFFITH FAMILY CHIROPRACTIC CENTER PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10170 STAPLES MILL RD | ||||||||
| Address2: | SUITE C | ||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230603450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045012280 | ||||||||
| FaxNumber: | 8045012281 | ||||||||
| Practice Location | |||||||||
| Address1: | 10170 STAPLES MILL RD | ||||||||
| Address2: | SUITE C | ||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230603450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045012280 | ||||||||
| FaxNumber: | 8045012281 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2006 | ||||||||
| LastUpdateDate: | 09/19/2014 | ||||||||
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| AuthorizedOfficialLastName: | GRIFFITH | ||||||||
| AuthorizedOfficialFirstName: | LAWRENCE | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8045012280 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | D.C. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 0104556256 | VA | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.