Healthcare Provider Details

I. General information

NPI: 1790344414
Provider Name (Legal Business Name): JOSEPH GARNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 02/02/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 STATE FARM RD STE 101
BOONE NC
28607-4862
US

IV. Provider business mailing address

870 STATE FARM RD STE 101
BOONE NC
28607-4862
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-4545
  • Fax: 828-263-5698
Mailing address:
  • Phone: 828-264-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2024-00140
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: