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Individual

MR. TY GARREN GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, FNP-C

Contact information

Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-7027
Mailing address
6518 WORTH AVE E, BENTON, AR 72019-6668
(870) 703-7784

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005018
AR

Other

Enumeration date
08/28/2017
Last updated
08/28/2017
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