Individual
MICHELLE C GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(856) 905-3070
(859) 441-1348
Mailing address
600 CROSS POINTE RD, SUITE A, GAHANNA, OH 43230-6696
(513) 725-2186
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.003015RX
OH
363A00000X
Physician Assistant
50.003015RX
OH
363A00000X
Physician Assistant
Primary
PA2621
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088494
—
OH
Enumeration date
01/28/2010
Last updated
06/09/2021
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