| Doctor Name: | JUANITA GARRETT |
| NPI Number: | 1104190099 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101053714 |
| Business Practice Address: | 1801 Hilliard Rd Henrico, VA - 232284604 |
| Business Phone Number: | 8042740216 |
| Business Fax Number: | |
| Mailing Address: | 1801 Hilliard Rd, HENRICO |
| State: | VA |
| Postal Code: | 232284604 |
| Phone Number: | 8042740216 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2012 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101053714 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |