Individual
DONTONIO GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
100 E QUEEN ST, HAMPTON, VA 23668-0108
(336) 906-3342
Mailing address
104 MISTY CV APT A, HAMPTON, VA 23666-1305
(336) 906-3342
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0126003140
VA
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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