Griffin, Shanta L.

Griffin, Shanta L. is an sole proprietor health care provider with primary practice located at 1750 Madison Ave Suite 260, Memphis TN 38104-6492. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Griffin, Shanta L. can be contacted via phone (901) 500-5103.

Contact Information

Primary practice address
1750 Madison Ave Suite 260 Memphis TN 38104-6492
Phone: (901) 500-5103
Fax: (901) 310-9117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 252 Arkansas
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001121 Georgia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 711 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 711 Tennessee

Profile Details

NPI number 1588827109
LBN Legal business name Griffin, Shanta L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2008
Last updated May 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588827109 NPPES
Tennessee MEDICAID 1521566
Tennessee Other 103I482540

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