Most Relevant Information
Provider Data
| NPI Number: | 1003407123 |
| Provider Name: | WILLIAM WINTER GRIFFIN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 5835 |
Most Important Dates
| Enumeration Date: | 02/01/2021 |
| Last Updated: | 02/01/2021 |
Provider Practice Location
1001 MADDOX SIMPSON PKWY
LEBANON
TN
370900794
Practice Location Phone/Fax
| Phone: | 6155255264 |
| Fax: |
Provider Mailing Location
108 GREYSTONE RD
MOUNT JULIET
TN
371225628
Provider Mailing Phone/Fax
| Phone: | 6155255264 |
| Fax: |