Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD21387 | DC |
NPI | 1285747501 |
---|---|
Provider Name | Dr. Marjorie Ann Garvey |
First Address | Washington, DC 20010-2921 |
Second Address | Washington, DC 20010-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 11/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5460-0101 | BCBS (01) | DC |
G45890 | (02) |