Individual
DR. KYLE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 W TERRACE DR, AUGUSTA, GA 30909-3622
(478) 718-1684
Mailing address
2704 W TERRACE DR, AUGUSTA, GA 30909-3622
(478) 718-1684
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
NOT YET ISSUED
GA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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