Individual
CHARLES GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5904 REDDINGTON WAY, SANDY SPRINGS, GA 30328-6224
(770) 906-3667
Mailing address
5904 REDDINGTON WAY, SANDY SPRINGS, GA 30328-6224
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
19883
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19883
GA
Other
Enumeration date
10/17/2012
Last updated
12/21/2014
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