Provider Demographics
NPI:1306092960
Name:GARNER, MATTHEW THOMAS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:THOMAS
Last Name:GARNER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NORTHCREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-3927
Mailing Address - Country:US
Mailing Address - Phone:615-384-2411
Mailing Address - Fax:
Practice Address - Street 1:501 GREAT CIRCLE RD
Practice Address - Street 2:STE. 200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1317
Practice Address - Country:US
Practice Address - Phone:615-396-4694
Practice Address - Fax:615-396-6751
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49844208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6009155OtherBCBST
TNQ004162Medicaid
TN6009155OtherBCBST