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NPI Code Detail

MEDICARE: ROBERT L GARNETT MD

MEDICARE: ROBERT L GARNETT 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
12085R0202XDiagnostic Radiology Physician14625GA

General Provider Information

NPI Number : 1215921010
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L GARNETT MD
Provider Business Mailing Address
First Line : PO BOX 2787
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-2787
Country : US
Telephone Number : 706-653-1102
Fax Number : 706-653-1230
Provider Business Practice Location Address
First Line : 2122 MANCHESTER EXPY
Second Line : ST FRANCIS HOSPITAL
City : COLUMBUS
State : GA
Zip : 31904-6878
Country : US
Telephone Number : 706-596-4115
Fax Number : 706-596-4119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 07/08/2007

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