Healthcare Provider Details

I. General information

NPI: 1306092960
Provider Name (Legal Business Name): MATTHEW THOMAS GARNER MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 GREAT CIRCLE RD STE. 200
NASHVILLE TN
37228-1317
US

IV. Provider business mailing address

100 NORTHCREST DR
SPRINGFIELD TN
37172-3927
US

V. Phone/Fax

Practice location:
  • Phone: 615-396-4694
  • Fax: 615-396-6751
Mailing address:
  • Phone: 615-384-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number49844
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number49844
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: