Individual
DR. JOSE GARRIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
273 HIGHWAY 11 E, BULLS GAP, TN 37711-3433
(423) 393-4146
(423) 393-4377
Mailing address
273 HIGHWAY 11 E, BULLS GAP, TN 37711-3433
(423) 393-4146
(423) 393-4377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0039603
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
39603
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
39603
TN
208M00000X
Hospitalist Physician
39603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010186285
—
VA
05
—
3332506
—
TN
05
—
3332507
—
TN
Enumeration date
06/22/2006
Last updated
09/20/2023
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