Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Garrett McTyre Minor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114555000

Garrett McTyre Minor is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence T6168 (MS)

Record details

NPI number1114555000
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address120 District Blvd Apt 416, Jackson, MS 39211-6388

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