# E CLARK GARNER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497144026
- **Authorized official:** MR. MICHAEL HENRY GRAHAM (ADMINISTRATOR)
- **Authorized official phone:** (706) 922-6300

## Contact information

- **Practice address:** 2030 WALTON WAY, AUGUSTA, GA 30904-4120
- **Practice address phone:** (706) 922-6300
- **Practice address fax:** (706) 922-6303
- **Mailing address:** 3686 WHEELER RD, AUGUSTA, GA 30909-6520
- **Mailing address phone:** (706) 922-6300
- **Mailing address fax:** (706) 922-6303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 35420 | GA | Yes |

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/20/2015