Individual
JOHN TIMOTHY GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017-00892
NC
207Q00000X
Family Medicine Physician
Primary
33507
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495610
BLUE CROSS & BLUE SHIELD
KY
05
—
2061254
—
OH
05
—
64353071
—
KY
Enumeration date
08/22/2006
Last updated
03/06/2024
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