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Individual

MR. JOHN DAVIS GARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
UPSTATE CARDIOLOGY, 2 INNOVATION DRIVE, STE 400, GREENVILLE, SC 29607-5270
(864) 235-7665
(864) 233-5971
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 605-3721
(864) 605-3587

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21759
SC
363LA2100X
Acute Care Nurse Practitioner
21759
SC
363LG0600X
Gerontology Nurse Practitioner
21759
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP5225
SC
Enumeration date
04/26/2018
Last updated
10/05/2018
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