Provider Demographics
NPI:1669646964
Name:JAMES W GARNER JR MD PC
Entity Type:Organization
Organization Name:JAMES W GARNER JR MD PC
Other - Org Name:JAMES W GARNER JR MD PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-890-5393
Mailing Address - Street 1:503 HIGHLAND TER STE D
Mailing Address - Street 2:503 D HIGHLAND TERRACE
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2421
Mailing Address - Country:US
Mailing Address - Phone:615-890-5393
Mailing Address - Fax:615-890-1576
Practice Address - Street 1:503 HIGHLAND TER STE D
Practice Address - Street 2:503 D HIGHLAND TERRACE
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2421
Practice Address - Country:US
Practice Address - Phone:615-890-5393
Practice Address - Fax:615-890-1576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3160985Medicare PIN
TNB02852Medicare UPIN