Organization
GARNER FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA WALL (OFFICE MANAGER)
(919) 779-0811
Entity
Organization
Contact information
Practice address
801 POOLE DR, GARNER, NC 27529
(919) 779-1440
(919) 662-0613
Mailing address
801 POOLE DR, GARNER, NC 27529-5207
(919) 779-1440
(919) 662-5084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013M8
—
NC
Enumeration date
04/19/2006
Last updated
11/19/2009
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