Organization
GARRETT MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C BOONE (ADMINISTRATOR)
(301) 334-8171
Entity
Organization
Contact information
Practice address
311 N 4TH ST, OAKLAND, MD 21550-1395
(301) 334-8171
(301) 334-1807
Mailing address
311 N 4TH ST, OAKLAND, MD 21550-1395
(301) 334-8171
(301) 334-1807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006936000
—
WV
Enumeration date
09/20/2006
Last updated
10/15/2007
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