Provider Demographics
NPI:1891230504
Name:GARNER, DARIUS
Entity Type:Individual
Prefix:
First Name:DARIUS
Middle Name:
Last Name:GARNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19157 CROWLEY EUNICE HWY
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-0801
Mailing Address - Country:US
Mailing Address - Phone:337-303-4630
Mailing Address - Fax:337-514-2105
Practice Address - Street 1:19157 CROWLEY EUNICE HWY
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-0801
Practice Address - Country:US
Practice Address - Phone:337-303-4630
Practice Address - Fax:337-514-2105
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator