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Individual

DR. TIMOTHY J. GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1199 PRINCE AVENUE, ATHENS, GA 30606-2787
(800) 532-6151
(706) 354-5769
Mailing address
PO BOX 5719, ATHENS, GA 30604-5719
(706) 310-0381
(706) 310-0390

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036361
GA
207P00000X
Emergency Medicine Physician
36361
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000539712A
GA
01
010043832
RAILROAD MEDICARE
GA
Enumeration date
11/17/2005
Last updated
03/04/2009
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