NPI 1225451842
Matthew Logan Garner, PAC
Practice location
- Address
- 830 S Gloster St 4th Floor East Tower, Tupelo, MS 38801-4934
- Phone
- (662) 377-7100
- Fax
- (662) 377-5736
- Mailing address
- 1211 S Gloster St STE a, Tupelo, MS 38801-6548
Registered specialties
Physician Assistant
Primary
Registry record
- NPI
- 1225451842
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Feb 2014
- Record last updated
- 26 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.