Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 00020330 | AL |
NPI | 1134177587 |
---|---|
Provider Name | Dr. Olivia Caridad Garcia |
First Address | Montgomery, AL 36117-3563 |
Second Address | Montgomery, AL 36117-3563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 15/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H15723 | (02) | AL |