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NPI Code Detail

MEDICARE: DR. DANA LEANN GARRETT MD

MEDICARE:  DR. DANA LEANN GARRETT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician9700960NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080124251OTHERNCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10138705OTHERNCUNITED HEALTHCARE
311033OTHERNCBLUE CROSS BLUE SHIELD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5270331OTHERNCMAMSI
676192OTHERNCMEDCOST
720898OTHERNCPARTNERS

General Provider Information

NPI Number : 1205830239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA LEANN GARRETT MD
Provider Business Mailing Address
First Line : 125 CHATHAM ST
Second Line :
City : SANFORD
State : NC
Zip : 27330-4335
Country : US
Telephone Number : 919-775-1115
Fax Number : 919-775-1113
Provider Business Practice Location Address
First Line : 125 CHATHAM ST
Second Line :
City : SANFORD
State : NC
Zip : 27330-4335
Country : US
Telephone Number : 919-775-1115
Fax Number : 919-775-1113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 10/19/2009

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