Individual
MR. NICHOLAS LEE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21275 STICK ROSS MOUNTAIN RD, TAHLEQUAH, OK 74464-7343
(918) 931-5129
Mailing address
215 NE 1ST ST, WAGONER, OK 74467-4439
(918) 201-4333
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
08/29/2025
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