Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 9701751 | NC |
N | 207QS0010X | Family Doctor - Sports Medicine | 9701751 | NC |
NPI | 1215916119 |
---|---|
Provider Name | Dr. Joseph A Garcia |
First Address | Charlotte, NC 28260-0447 |
Second Address | Huntersville, NC 28078-3314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89137XU | (05) | NC |
G23714 | (02) | NC |