Provider Demographics
NPI:1972367035
Name:GARMON, KARLY BRIANNA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KARLY
Middle Name:BRIANNA
Last Name:GARMON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 SIX AND TWENTY RD
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:SC
Mailing Address - Zip Code:29670-9308
Mailing Address - Country:US
Mailing Address - Phone:864-437-9409
Mailing Address - Fax:
Practice Address - Street 1:1115 DUNLAP RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2501
Practice Address - Country:US
Practice Address - Phone:864-225-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC252992163W00000X
SC28382363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse