Basic Information
| Provider Information | |||||||||
| NPI: | 1467686303 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARNER | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | JAMES | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2660 10TH AVE S | ||||||||
| Address2: | SUITE 528 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352051605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059339258 | ||||||||
| FaxNumber: | 2059336504 | ||||||||
| Practice Location | |||||||||
| Address1: | 2660 10TH AVE S | ||||||||
| Address2: | SUITE 528 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352051605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059339258 | ||||||||
| FaxNumber: | 2059336504 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2009 | ||||||||
| LastUpdateDate: | 07/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 30818 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 171318 | 05 | AL | MEDICAID |