Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 3552 | SC |
NPI | 1679851539 |
---|---|
Provider Name | Akash Garg |
First Address | Moore, SC 29369-8818 |
Second Address | Moore, SC 29369-8818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2011 |
Last Update Date | 26/07/2011 |