Individual
RICKY RICARDO GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 LOWER RICHLAND BLVD, HOPKINS, SC 29061-8631
(865) 256-3763
Mailing address
1613 LOWER RICHLAND BLVD, HOPKINS, SC 29061-8631
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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