Individual
DR. MATTHEW DANIEL GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
(423) 282-6940
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47882
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525759
—
TN
05
—
1881814648
—
NC
05
—
1881814648
—
VA
05
—
7100238580
—
KY
01
—
P01081185
RR MEDICARE
TN
Enumeration date
04/26/2007
Last updated
02/18/2025
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