Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 010148037 | VA |
NPI | 1013058429 |
---|---|
Provider Name | Gerard Collins Carey |
First Address | Richmond, VA 23220-1215 |
Second Address | Richmond, VA 23220-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 20/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D51136 | (02) | VA |