GARRETT SHANE SURRENCY

CLAYTON, GA
NPI1104348432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  162472)
Enumeration Date2017-07-07
Last Update Date2025-09-16
Business Address
GARRETT SHANE SURRENCY Advanced Care NP
189 BO JAMES ST STE 105
CLAYTON, GA 30525-6199
Phone number: 706-782-0016
Mailing Address
GARRETT SHANE SURRENCY Advanced Care NP
PO BOX 654
SPARKS, GA 31647-0654
Phone number: 229-848-9383