Doctor Name: | DONALD J GARRETT |
NPI Number: | 1023357274 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | R888688 |
Business Practice Address: | 1201 Highway 49 S Suite 4 Richland, MS - 392189425 |
Business Phone Number: | 6019326400 |
Business Fax Number: | 6019326437 |
Mailing Address: | Po Box 180367, RICHLAND |
State: | MS |
Postal Code: | 392180367 |
Phone Number: | 6019326400 |
Fax Number: | 6019326437 |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R888688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |