Organization
GARNET R HARRIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN HOOVER (BILLING)
(317) 718-0044
Entity
Organization
Contact information
Practice address
7 MANOR DR, DANVILLE, IN 46122-9400
(317) 718-0044
(317) 745-5219
Mailing address
PO BOX 390, DANVILLE, IN 46122-0390
(317) 718-0044
(317) 745-5219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
334000083A
IN
207Q00000X
Family Medicine Physician
Primary
01029733
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000104965
ANTHEM
IN
Enumeration date
08/10/2010
Last updated
12/07/2010
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