Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 204277914 | VA |
N | 207RP1001X | Pulmonary Disease | P67743 | NY |
NPI | 1003055484 |
---|---|
Provider Name | Dr. Nicola Ann Garcia |
First Address | Martinsville, VA 24112-1928 |
Second Address | Martinsville, VA 24112-1928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2009 |
Last Update Date | 26/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003055484 | (05) | VA |