Healthcare Provider Details

I. General information

NPI: 1346171428
Provider Name (Legal Business Name): MRS. CHATARSHA ANN GARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 FITCH DR
MEBANE NC
27302-8153
US

IV. Provider business mailing address

246 FITCH DR
MEBANE NC
27302-8153
US

V. Phone/Fax

Practice location:
  • Phone: 336-516-8119
  • Fax:
Mailing address:
  • Phone: 336-516-8119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: