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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881697704 NPPES
North Carolina Other 34736 BCBS
North Carolina MEDICAID 8934736 BCBS

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