Individual
TAMMY MICHELLE GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1501A KALAMAZOO DR, GRIFFIN, GA 30224-3919
(770) 358-8264
Mailing address
355 WALLIE RD, MOLENA, GA 30258-2504
(770) 567-4251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN057410
GA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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