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Organization

E CLARK GARNER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL HENRY GRAHAM (ADMINISTRATOR)
(706) 922-6300
Entity
Organization

Contact information

Practice address
2030 WALTON WAY, AUGUSTA, GA 30904-4120
(706) 922-6300
(706) 922-6303
Mailing address
3686 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 922-6300
(706) 922-6303

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35420
GA

Other

Enumeration date
01/20/2015
Last updated
01/20/2015
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