Individual
MR. JOEL B GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFA PA
Contact information
Practice address
230 AUDUBON DR, MANDEVILLE, LA 70471
(985) 845-1501
(985) 845-1601
Mailing address
230 AUDUBON DR, MANDEVILLE, LA 70471
(985) 845-1501
(985) 845-1601
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CN103707
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN103707
N CERT OF ASSIST SURGEONS
—
Enumeration date
05/17/2007
Last updated
07/08/2007
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