Provider Demographics
NPI:1144755489
Name:GARNIER, VERINESE (CPT)
Entity type:Individual
Prefix:
First Name:VERINESE
Middle Name:
Last Name:GARNIER
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 HAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-3535
Mailing Address - Country:US
Mailing Address - Phone:912-332-5292
Mailing Address - Fax:912-332-5292
Practice Address - Street 1:619 HAMPTON ST
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3535
Practice Address - Country:US
Practice Address - Phone:912-332-5292
Practice Address - Fax:912-332-5292
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1170062716405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional