Individual
DR. GARNET R HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 MANOR DR, DANVILLE, IN 46122
(317) 718-0044
(317) 745-5219
Mailing address
PO BOX 390, DANVILLE, IN 46122
(317) 718-0044
(317) 745-5219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029733
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092260
BLUE CROSS BLUE SHIELD
IN
01
—
080114205
MEDICARE RAILROAD
IN
05
—
100083560
—
IN
01
—
10782527
CAQH
IN
01
—
4289645
AETNA
IN
01
—
M400029295
MEDICARE
IN
Enumeration date
05/24/2005
Last updated
12/07/2010
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