Individual
JORDAN LEIGH GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
246 PARKS HALL, ATHENS, OH 45701
(740) 593-2516
(740) 593-2905
Mailing address
246 PARKS HALL, ATHENS, OH 45701
(740) 593-2516
(740) 593-2905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34010594
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/26/2009
Last updated
09/10/2012
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