Individual
MR. REUBEN A GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 599-4922
Mailing address
PO BOX 7422, HAMPTON, VA 23666-0422
(757) 599-4922
(757) 599-4927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003926
VA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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