Basic Information
Provider Information
NPI: 1376746891
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARNER
FirstName: LYNN
MiddleName: CAROL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1300 MICCOSUKEE RD
Address2: HOSPITALISTS GROUP
City: TALLAHASSEE
State: FL
PostalCode: 323085054
CountryCode: US
TelephoneNumber: 8504314556
FaxNumber: 8504316315
Practice Location
Address1: 1300 MICCOSUKEE RD
Address2: HOSPITALISTS GROUP
City: TALLAHASSEE
State: FL
PostalCode: 323085054
CountryCode: US
TelephoneNumber: 8504314556
FaxNumber: 8504316315
Other Information
ProviderEnumerationDate: 06/11/2007
LastUpdateDate: 11/03/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XME58603FLY Allopathic & Osteopathic PhysiciansFamily Medicine 
207X00000XME 0058603FLN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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