Individual
JEFFREY BRUCE GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 SKYLAND INN DR, ARDEN, NC 28704-7714
(828) 654-5005
(828) 654-3257
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5698
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200300344
NC
207V00000X
Obstetrics & Gynecology Physician
29475
SC
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
200300344
NC
207VG0400X
Gynecology Physician
200300344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137UJ
BCBS NC
NC
05
—
294755
—
SC
01
—
P00656891
RR MEDICARE
SC
01
—
P01452618
RR MEDICARE/NC
NC
Enumeration date
08/25/2006
Last updated
11/18/2022
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