Healthcare Provider Details

I. General information

NPI: 1285716464
Provider Name (Legal Business Name): JANE ELIZABETH GARMANY R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE ELIZABETH GARMANY R.N.

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 MARION ST
COLUMBIA SC
29201-2113
US

IV. Provider business mailing address

113 BRYAN CT
GASTON SC
29053-9730
US

V. Phone/Fax

Practice location:
  • Phone: 803-898-0123
  • Fax: 803-253-4090
Mailing address:
  • Phone: 803-794-5064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberR66389
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: