Individual
DR. CHARLES JUSTIN GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555
Mailing address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904-6884
(325) 949-9555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
002065
GA
207L00000X
Anesthesiology Physician
200201249
NC
207L00000X
Anesthesiology Physician
Primary
P2647
TX
Other
Enumeration date
01/16/2008
Last updated
12/05/2018
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