| Jeffery Garrard, M.d., P.c. | |
|
4205 Balmoral Dr Sw Ste 200 Huntsville AL 35801-7421 | |
| (256) 382-7767 | |
| (256) 880-5262 |
| Full Name | Jeffery Garrard, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4205 Balmoral Dr Sw Ste 200, Huntsville, Alabama |
| Authorized Official Name and Position | Jeffery Garrard (PRESIDENT) |
| Authorized Official Contact | 2563827767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Garrard, M.d., P.c. 4205 Balmoral Dr Sw Ste 200 Huntsville AL 35801-7421 Ph: (256) 382-7767 | Jeffery Garrard, M.d., P.c. 4205 Balmoral Dr Sw Ste 200 Huntsville AL 35801-7421 Ph: (256) 382-7767 |
| NPI Number | 1558536474 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 3577636588 |
|---|---|
| Medicare Enrollment ID | O20080724000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558536474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey D Garrard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134347495 PECOS PAC ID: 5890888028 Enrollment ID: I20070905000158 |
| Provider Name | Elizabeth M Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659957892 PECOS PAC ID: 5092114447 Enrollment ID: I20210929002984 |
| Provider Name | Abigail Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760179360 PECOS PAC ID: 4981058195 Enrollment ID: I20230921002487 |
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