Individual
DR. DAVID CLAYBOURNE GARRETT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
131 TUCKER ST STE 5, JACKSON, TN 38301-4055
(731) 424-1408
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2011019843
MO
207L00000X
Anesthesiology Physician
Primary
52999
TN
Other
Enumeration date
03/30/2011
Last updated
03/29/2018
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