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Shanta L. Griffin, DPM
Foot & Ankle Surgery Podiatrist in Memphis, Tennessee
NPI 1588827109

Shanta L. Griffin is a Foot & Ankle Surgery Podiatrist based in Southaven, TN and is specialized in Foot & Ankle Surgery. Shanta L. Griffin practices in Memphis, TN and has the professional credentials of DPM. The NPI Number for Shanta L. Griffin is 1588827109 and holds a License No. 252 (Tennessee).

The current practice location address for Shanta L. Griffin is 1750 Madison Ave, Memphis, TN and can be reached out via phone at 901-500-5103 and via fax at 901-310-9117. You can also correspond with Shanta L. Griffin through the mailing address at PO BOX 21, SOUTHAVEN, MS - 38671-0001 (mailing address contact number: 901-500-5103).

Location: 1750 Madison Ave, Memphis, TN, 38671-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588827109
Provider Name
Shanta L. Griffin
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1750 Madison Ave, Memphis, TN, 38671-0001
Phone Number
901-500-5103
Fax Number
901-310-9117
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1521566 05 TN
103I482540 01 TN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1750 Madison Ave
City
Memphis
State
Tennessee
Zip
38104-6492
Phone Number
901-500-5103
Fax Number
901-310-9117
person
Provider Business Mailing Address Details
Address
1750 Madison Ave
City
Memphis
State
Tennessee
Zip
38104-6492
Phone Number
901-500-5103
Fax Number
901-310-9117
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
POD001121 (Georgia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
252 (Arkansas)
Definition
Definition to come...
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