Individual
DR. CHARLES WALTER GARRETT III
Active
Individual
DR. CHARLES WALTER GARRETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17128
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004116209
AETNA
OK
05
—
100101670A
—
OK
01
—
180027938
RAILROAD MEDICARE
OK
Enumeration date
08/05/2006
Last updated
06/02/2014
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