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Individual

DR. JONATHAN CROSS GARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4422 CARVER WOODS DR, CINCINNATI, OH 45242-5536
(513) 984-2800
(513) 984-2844
Mailing address
4422 CARVER WOODS DR, CINCINNATI, OH 45242-5536
(513) 984-2800
(513) 984-2844

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35055674
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35055674
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35055674
OH STATE LICENSE
OH
Enumeration date
03/27/2006
Last updated
02/07/2019
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