Individual
EVAN FULLER GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 S GLOSTER ST FL 4, TUPELO, MS 38801-4934
(662) 377-7170
Mailing address
625 19TH STREET SOUTH, BIRMINGHAM, AL 35249
(478) 278-7488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.33569
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
30035
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2013
Last updated
07/05/2022
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