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DOUGLAS TRUMAN GARRETT NP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1912511064
Individual Registrant: DOUGLAS TRUMAN GARRETT NP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
6416 WASHINGTON RD APPLING, GA 30802-4208 US
Tel: 803-645-3198 Fax: --
Tel: 803-645-3198 Fax: --
Contact information for business:
6416 WASHINGTON RD APPLING, GA 30802-4208 US
Tel: 803-645-3198 Fax: --
Tel: 803-645-3198 Fax: --
Registration Information:
NPI: 1912511064
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN174104 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
