Individual
DR. JONATHAN ROGER GARST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 N CHURCH ST STE 200, GREENSBORO, NC 27401-1041
(336) 272-4578
(336) 272-5931
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2024-03186
NC
207T00000X
Neurological Surgery Physician
Primary
2024017003
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200141037
—
MO
Enumeration date
05/10/2017
Last updated
05/15/2025
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