Individual
DR. SHUNDA LYNETTE GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-4400
Mailing address
278 DINKENS RD, PICKENS, MS 39146-9587
(601) 672-7274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16790
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122194
—
MS
Enumeration date
10/18/2005
Last updated
03/10/2020
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