Provider Demographics
NPI:1962182097
Name:GARNER, DREW EDWIN (ATC)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:EDWIN
Last Name:GARNER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2905
Mailing Address - Country:US
Mailing Address - Phone:256-394-2326
Mailing Address - Fax:
Practice Address - Street 1:615 N PINE STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35632-0001
Practice Address - Country:US
Practice Address - Phone:256-765-4563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer