Individual
BEVERLY ANN GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
602 N JEFFERSON ST, MACON MEDICAL, MACON, MS 39341-2242
(662) 726-5831
Mailing address
519 7TH ST S, COLUMBUS, MS 39701-6505
(662) 327-6497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R767941
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112780
—
MS
Enumeration date
11/16/2006
Last updated
11/30/2009
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