Garrison, Matthew Daniel

Garrison, Matthew Daniel is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 240 , Johnson City TN 37604-2641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Garrison, Matthew Daniel can be contacted via phone (423) 794-5520.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 240 Johnson City TN 37604-2641
Phone: (423) 794-5520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47882 Tennessee

Profile Details

NPI number 1881814648
LBN Legal business name Garrison, Matthew Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jun 22nd, 2021 - about 4 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 1881814648 NPPES
Virginia MEDICAID 1881814648
Virginia Other P01081185
Virginia MEDICAID 1525759
Virginia MEDICAID 1881814648
Virginia MEDICAID 7100238580

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