Individual
JONATHAN DOUGLAS GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
633 BROOKDALE DR STE 300, STATESVILLE, NC 28677-3471
(704) 873-3250
(704) 873-2940
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 873-4511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103930
NC
Other
Enumeration date
06/07/2006
Last updated
04/24/2018
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