Individual
KERRY GARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 424-2925
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 424-2925
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
212452
NC
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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