Provider Demographics
NPI:1942302013
Name:GARLAND, JOHN WHITE III (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:WHITE
Last Name:GARLAND
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 908504
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-0924
Mailing Address - Country:US
Mailing Address - Phone:770-287-5387
Mailing Address - Fax:770-532-9414
Practice Address - Street 1:1700 BLUE RIDGE DR NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-1208
Practice Address - Country:US
Practice Address - Phone:770-287-5387
Practice Address - Fax:770-532-9414
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA105432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00183796AMedicaid
AG5004560OtherDEA US GOVT
511G700864Medicare PIN
AG5004560OtherDEA US GOVT