Healthcare Provider Details

I. General information

NPI: 1477800704
Provider Name (Legal Business Name): KARON JOYCE GARMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2012
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 TOWN CREEK RD
AIKEN SC
29803-5843
US

IV. Provider business mailing address

2062 WHISKEY RD
AIKEN SC
29803-6183
US

V. Phone/Fax

Practice location:
  • Phone: 803-508-7651
  • Fax: 803-508-7655
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17958
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: