Provider Demographics
NPI:1225451842
Name:GARNER, MATTHEW LOGAN (PA-C)
Entity Type:Individual
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First Name:MATTHEW
Middle Name:LOGAN
Last Name:GARNER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1211 S GLOSTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-6548
Mailing Address - Country:US
Mailing Address - Phone:662-767-4200
Mailing Address - Fax:626-767-4201
Practice Address - Street 1:830 S GLOSTER ST
Practice Address - Street 2:4TH FLOOR EAST TOWER
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4934
Practice Address - Country:US
Practice Address - Phone:662-377-7100
Practice Address - Fax:662-377-5736
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2021-10-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant