MEDICARE: MICHAELS GARRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician		NC

General Provider Information

NPI Number	:	1134001282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELS GARRIS

Provider Business Mailing Address
First Line	:	740 GREENVILLE BLVD SE STE 400-372
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-5135
Country	:	US
Telephone Number	:	252-567-2538
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 GREENVILLE BLVD SE STE 400-372
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-5135
Country	:	US
Telephone Number	:	252-567-2538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/21/2025

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Directions to “ MICHAELS GARRIS ” Practice Location

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