Basic Information
Provider Information
NPI: 1285716464
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARMANY
FirstName: JANE
MiddleName: ELIZABETH
NamePrefix: MRS.
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GARMANY
OtherFirstName: JANE
OtherMiddleName: ELIZABETH
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: R.N.
OtherLastNameType: 1
Mailing Information
Address1: 113 BRYAN CT
Address2:  
City: GASTON
State: SC
PostalCode: 290539730
CountryCode: US
TelephoneNumber: 8037945064
FaxNumber:  
Practice Location
Address1: 2015 MARION ST
Address2:  
City: COLUMBIA
State: SC
PostalCode: 292012113
CountryCode: US
TelephoneNumber: 8038980123
FaxNumber: 8032534090
Other Information
ProviderEnumerationDate: 10/19/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0400XR66389SCY Nursing Service ProvidersRegistered NurseCase Management

No ID Information.


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