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NPI Code Detail

MEDICARE: CHRISTINA GARRETT

MEDICARE:   CHRISTINA  GARRETT
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
1363LF0000XFamily Nurse Practitioner19398SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326434283
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA GARRETT
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-455-5648
Fax Number : 864-455-7862
Provider Business Practice Location Address
First Line : 701 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4210
Country : US
Telephone Number : 864-455-5648
Fax Number : 864-455-7862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2015
Last Update Date : 02/02/2026

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Directions to “ CHRISTINA GARRETT ” Practice Location

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