Individual
DR. ANDREA KOOSNE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4577 S EASON BLVD, TUPELO, MS 38801-6590
(662) 377-7590
(662) 377-7595
Mailing address
1937 BRIAR RIDGE RD, TUPELO, MS 38804-5963
(662) 690-4200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17069
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08226071
—
MS
Enumeration date
06/01/2006
Last updated
05/13/2016
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