Garner Lighthouse
General Practice Physician in Garner, NC(View on Map)
Legal Business Name
Garner Lighthouse
NPI Number
1700330867
NPI Type
Organization
Enumeration Date
08/06/2016
Specialties
(Taxonomies)Code
208D00000X
207R00000X
Primary Taxonomy
Yes
No
Licenses
State
North Carolina
License Number
13460
Contact
Information
Purpose
Mailing
Location
Address
607 BENSON RD
607 BENSON RD
City
Garner
Garner
State
NC
NC
Postal Code
27529-3988
27529-3988
Country
US
US
Telephone Number
(919) 594-1354
(919) 594-1354
Authorized Official
Name
Usha Doshi
Title or Position
PHYSICIAN
Telephone Number
(919) 594-1354
Identifiers
Identifier
1436218
Identifier State
NC
Identifier Issuer
NORTH CAROLINA SECRETARY OF STATE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/06/2016
Provider Address
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