Individual
PAUL ANDRE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6357 OXON HILL RD, OXON HILL, MD 20745-2214
(301) 839-2700
(301) 839-1354
Mailing address
5103 MARLIN CT, WALDORF, MD 20603-4248
(301) 466-7376
(240) 518-8881
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C02360
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010374782
—
VA
Enumeration date
07/19/2006
Last updated
07/29/2019
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