Garrison, Judie Lynne
Garrison, Judie Lynne is an individual health care provider with primary practice located at 400 Spring Forest Rd , Greenville NC 27834-7244. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Garrison, Judie Lynne can be contacted via phone (252) 758-6627.Contact Information
Primary practice address
400 Spring Forest Rd
Greenville NC 27834-7244
Phone: (252) 758-6627
Fax: (252) 830-5138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 95-01248 | North Carolina |
Profile Details
| NPI number | 1881697704 |
|---|---|
| LBN Legal business name | Garrison, Judie Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881697704 | NPPES |
| North Carolina | Other | 34736 | BCBS |
| North Carolina | MEDICAID | 8934736 | BCBS |
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