| Doctor Name: | MR. MARK CLIFFORD GRIFFIN |
| NPI Number: | 1295742658 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | APN0000006187 |
| Business Practice Address: | 134 Cecil D Quillen Dr Duffield, VA - 242449726 |
| Business Phone Number: | 2764311638 |
| Business Fax Number: | 2764311639 |
| Mailing Address: | 30 Compton, BRISTOL |
| State: | TN |
| Postal Code: | 376202904 |
| Phone Number: | 4237649341 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000006187 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |