Individual
MARK WAYNE GARRISON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 CAMP AVE, LYNCHBURG, VA 24501-6931
(434) 544-1709
(434) 386-8658
Mailing address
115 CAMP AVE, LYNCHBURG, VA 24501-6931
(434) 544-1709
(434) 386-8658
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
T60439260
VA
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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