Individual
MR. RUSSELL HINTON GARNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
108 CLINTON PKWY, CLINTON, MS 39056-4730
(601) 926-2018
(601) 924-9746
Mailing address
108 CLINTON PKWY, CLINTON, MS 39056-4730
(601) 926-2018
(601) 924-9746
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3976
MS
Other
Enumeration date
01/12/2011
Last updated
12/03/2015
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