Provider Demographics
NPI:1467286369
Name:GARNER, THOMAS JR
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:GARNER
Suffix:JR
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 1:2419 FERNBROOK RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-5417
Mailing Address - Country:US
Mailing Address - Phone:336-944-4235
Mailing Address - Fax:
Practice Address - Street 1:2419 FERNBROOK RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5417
Practice Address - Country:US
Practice Address - Phone:336-944-4235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist