Individual
MR. MARK JOSEPH GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2412 RING RD, ELIZABETHTOWN, KY 42701-7998
(270) 763-2273
Mailing address
119 PERIWINKLE DR, RADCLIFF, KY 40160-1997
(270) 351-9953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA526
KY
Other
Enumeration date
12/30/2005
Last updated
08/16/2016
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