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Individual
FRED T GARNER
Active
Individual
FRED T GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
16045
SC
207YP0228X
Pediatric Otolaryngology Physician
Primary
16045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160453
—
SC
01
—
204836403
TAX ID
SC
01
—
570667594
TAX ID
SC
Enumeration date
02/14/2006
Last updated
08/18/2021
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