Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 2014-00531 | NC |
N | 208200000X | Surgeon | 2014-00531 | NC |
N | 208600000X | Surgeon | 2014-00531 | NC |
NPI | 1063626877 |
---|---|
Provider Name | Dr. Ryan Michael Garcia |
First Address | Charlotte, NC 28209-3239 |
Second Address | Charlotte, NC 28207-1101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 04/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063626877 | (05) | NC |
NC2411 | (05) | SC |