Individual
HEATHER N. GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8000
(270) 338-8208
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41953
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11980946
CAQH
—
05
—
7100040040
—
KY
Enumeration date
06/20/2007
Last updated
05/10/2022
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