Organization
GARY B GARISON M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDI S GREER MSHM (ADMINISTRATOR)
(910) 587-9590
Entity
Organization
Contact information
Practice address
3625 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 587-9590
(919) 287-2269
Mailing address
3688 PIONEER DR, HOPE MILLS, NC 28348-9346
(910) 587-9590
(919) 287-2269
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8934559
—
NC
Enumeration date
04/12/2007
Last updated
09/18/2008
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