Individual
GARRETT SHANE SURRENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADVANCED CARE NP
Contact information
Practice address
189 BO JAMES ST STE 105, CLAYTON, GA 30525-6199
(706) 782-0016
(706) 782-0180
Mailing address
PO BOX 654, SPARKS, GA 31647-0654
(229) 848-9383
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
162472
GA
Other
Enumeration date
07/07/2017
Last updated
10/20/2025
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