# GARNET R HARRIS MD PC

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

## Provider details

- **NPI number:** 1568777985
- **Authorized official:** COLLEEN HOOVER (BILLING)
- **Authorized official phone:** (317) 718-0044

## Contact information

- **Practice address:** 7 MANOR DR, DANVILLE, IN 46122-9400
- **Practice address phone:** (317) 718-0044
- **Practice address fax:** (317) 745-5219
- **Mailing address:** PO BOX 390, DANVILLE, IN 46122-0390
- **Mailing address phone:** (317) 718-0044
- **Mailing address fax:** (317) 745-5219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 334000083A | IN | — |
| 207Q00000X | Family Medicine Physician | 01029733 | IN | Yes |

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 12/07/2010