Healthcare Provider Details

I. General information

NPI: 1174504740
Provider Name (Legal Business Name): JEFFREY G GARBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 AIRPORT RD SW STE 100
HUNTSVILLE AL
35802-4304
US

IV. Provider business mailing address

12205 COUNTY LINE RD STE B
MADISON AL
35758-7720
US

V. Phone/Fax

Practice location:
  • Phone: 256-429-4809
  • Fax: 256-429-4163
Mailing address:
  • Phone: 256-759-9262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11644
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: