Individual
KERRY GENE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MSC 104, MACON, GA 31201-2102
(478) 633-7550
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN123276
GA
Other
Enumeration date
03/10/2015
Last updated
06/05/2015
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