Individual
HARRY TIMOTHY GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 S MAIN ST, WEST SALEM, IL 62476-1202
(618) 456-3727
(618) 456-3774
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036068484
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068484
—
IL
01
—
1215060298
NPI
IL
01
—
1316984594
NPI
IL
01
—
1669514956
NPI
IL
Enumeration date
09/27/2005
Last updated
01/18/2016
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