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Individual

WILLIAM H GARNER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 MARKET STREET, CHARLESTOWN, IN 47111
(812) 256-7830
(812) 256-7835
Mailing address
2100 MARKET STREET, CHARLESTOWN, IN 47111
(812) 256-7442
(812) 256-7835

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01031544
IN
208600000X
Surgery Physician
Primary
01031544A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042422
ANTHEM MEDICAID
IN
01
000000042422
ANTHEM
KY
01
021760854
RAILROAD MEDICARE
IN
01
100138490
MDWISE HOOSIER ALLIANCE
IN
05
100138490
IN
01
242150B
UNICARE MEDICARE
IN
Enumeration date
02/15/2007
Last updated
02/23/2009
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