Individual
GEORGE WALDON GARRISS III
Active
Individual
GEORGE WALDON GARRISS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28763
TN
207R00000X
Internal Medicine Physician
51134
GA
208000000X
Pediatrics Physician
51134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3840540
MEDICARE ID-TYPE UNSPECIFIED
GA
05
—
3840540
—
GA
Enumeration date
06/18/2007
Last updated
04/27/2023
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