Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1092 | AL |
NPI | 1659370013 |
---|---|
Provider Name | Dr. Jonathan Harold Griffiths |
First Address | Pinson, AL 35126-3685 |
Second Address | Pinson, AL 35126-3685 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 15/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T68431 | (02) | AL |