| Doctor Name: | PAUL ANDRE GARRETT |
| NPI Number: | 1063431880 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | C02360 |
| Business Practice Address: | 6357 Oxon Hill Rd Oxon Hill, MD - 207452214 |
| Business Phone Number: | 3018392700 |
| Business Fax Number: | 3018391354 |
| Mailing Address: | 6357 Oxon Hill Rd, OXON HILL |
| State: | MD |
| Postal Code: | 207452214 |
| Phone Number: | 3018392700 |
| Fax Number: | 3018391354 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C02360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |