Provider Demographics
NPI:1700142379
Name:GARRARD, ELI CHRISTOPHER (MD)
Entity Type:Individual
Prefix:MR
First Name:ELI
Middle Name:CHRISTOPHER
Last Name:GARRARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 HOSPITAL PKWY STE 302
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5712
Mailing Address - Country:US
Mailing Address - Phone:404-778-8432
Mailing Address - Fax:404-778-0847
Practice Address - Street 1:6335 HOSPITAL PKWY STE 302
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-5712
Practice Address - Country:US
Practice Address - Phone:404-778-8432
Practice Address - Fax:404-778-0847
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-07
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
GA005759207X00000X
GA80993207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty