Individual
JEFFREY SCOTT GARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5261 CARROLLTON PIKE STE C, WOODLAWN, VA 24381-3034
(276) 238-0911
(276) 238-0912
Mailing address
5261 CARROLLTON PIKE STE C, WOODLAWN, VA 24381-3034
(276) 238-0911
(276) 238-0912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101241040
VA
207R00000X
Internal Medicine Physician
45543
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070997200
—
MN
05
—
1306878756
—
VA
01
—
261083931
TAX ID
—
05
—
34388400
—
WI
01
—
C10361
GROUP PTAN
—
01
—
DN2980
GROUP PTAN
—
01
—
P00977738
PTAN
—
Enumeration date
07/07/2006
Last updated
09/15/2022
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