Provider Demographics
NPI:1386266161
Name:GARRETT, JANIE TONIA (DC)
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:TONIA
Last Name:GARRETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:171 BURKETTS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:GA
Mailing Address - Zip Code:31539-7133
Mailing Address - Country:US
Mailing Address - Phone:912-375-4893
Mailing Address - Fax:912-375-9872
Practice Address - Street 1:101 WILSON ST
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:GA
Practice Address - Zip Code:31539-6521
Practice Address - Country:US
Practice Address - Phone:912-253-8087
Practice Address - Fax:912-375-9872
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor