Individual
DAVID K GARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-4000
(423) 230-8281
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3257
(423) 230-8281
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
6699
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013438
—
WV
05
—
7100040770
—
KY
Enumeration date
02/15/2007
Last updated
10/29/2008
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