Individual
MR. THOMAS J GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
4071 TATES CREEK CENTRE DR, SUITE 202, LEXINGTON, KY 40517-3062
(859) 277-7129
(859) 277-9613
Mailing address
1720 NICHOLASVILLE RD, SUITE 502, LEXINGTON, KY 40503-1404
(859) 277-7129
(859) 277-9613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004396
—
KY
Enumeration date
09/13/2005
Last updated
12/02/2020
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