Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 13964 | AL |
N | 111NI0900X | Internist | 13964 | AL |
Y | 207RH0003X | Hematology & Oncology | 13964 | AL |
N | 207RX0202X | Medical Oncology | 13964 | AL |
NPI | 1083708762 |
---|---|
Provider Name | Michael M. Garcia |
First Address | Huntsville, AL 35804-8428 |
Second Address | Jasper, AL 35501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 17/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C69131 | (02) | AL |