Provider Demographics
NPI:1245351204
Name:GARHART, SALLY J (MD)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:J
Last Name:GARHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6274
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-6274
Mailing Address - Country:US
Mailing Address - Phone:603-491-5036
Mailing Address - Fax:603-924-0161
Practice Address - Street 1:7 NH 101A
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-3132
Practice Address - Country:US
Practice Address - Phone:603-491-5036
Practice Address - Fax:603-924-0161
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH74122083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine