Healthcare Provider Details

I. General information

NPI: 1255485587
Provider Name (Legal Business Name): LAURA K GARNER RNFA,CNOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US

IV. Provider business mailing address

8310 KENT DR
SAVANNAH GA
31406-5052
US

V. Phone/Fax

Practice location:
  • Phone: 912-839-6000
  • Fax:
Mailing address:
  • Phone: 912-659-4037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN161540
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: