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Individual

DR. JASON T GARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 612-6390
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101041389
VA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0101041389
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010007755
VA
Enumeration date
03/14/2006
Last updated
01/24/2022
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