Provider Demographics
NPI:1669998647
Name:GARNER, AMY SAYLES
Entity type:Individual
Prefix:PROF
First Name:AMY
Middle Name:SAYLES
Last Name:GARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 THE HOOK
Mailing Address - Street 2:
Mailing Address - City:CARET
Mailing Address - State:VA
Mailing Address - Zip Code:22436-2102
Mailing Address - Country:US
Mailing Address - Phone:804-246-6004
Mailing Address - Fax:
Practice Address - Street 1:231 THE HOOK
Practice Address - Street 2:
Practice Address - City:CARET
Practice Address - State:VA
Practice Address - Zip Code:22436-2102
Practice Address - Country:US
Practice Address - Phone:804-246-6004
Practice Address - Fax:804-443-2495
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver