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Individual

ELISE MARIE GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
170 N EAGLE CREEK DR STE 104, LEXINGTON, KY 40509-9087
(859) 967-5848
(859) 967-5473
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 967-5473

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
60956
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/30/2020
Last updated
06/24/2025
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