DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK WAYNE GARRISON SR.

Active Sole Proprietor

MARK WAYNE GARRISON SR. is a Van Provider healthcare provider located in LYNCHBURG, Virginia. NPI 1649991407 is currently active in the NPPES registry. Verify at CMS.

Van Provider · LYNCHBURG, VA

Registration Details

NPI Number
1649991407
Provider Type
Individual
Gender
Male
NPI Issued
Sep 8, 2022 (3.930295705481 yrs)
Last Updated
Sep 8, 2022
License
T60439260 (VA)
Sole Proprietor
Yes

Practice Information

Address
115 CAMP AVE
LYNCHBURG, VA, 245016931
Browse VA providers · Browse ZIP 24501
Phone
4345441709
Fax
4343868658
Primary Specialty
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.