Individual
TABITHA T GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
173 EAST SPRINGBROOK ROAD, BROADWAY, VA 22815
(540) 901-7028
(540) 901-2599
Mailing address
173 EAST SPRINGBROOK ROAD, BROADWAY, VA 22815
(540) 901-7028
(540) 901-2599
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
0024167218
VA
208VP0000X
Pain Medicine Physician
Primary
0024167218
VA
363LF0000X
Family Nurse Practitioner
0024167218
VA
Other
Enumeration date
12/20/2006
Last updated
01/29/2021
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