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Individual
DR. MARCIA A. OLIVER
Active
Individual
DR. MARCIA A. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20189
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396722849
NPI
SC
01
—
20189
STATE LICENSE
SC
05
—
N00958
—
SC
Enumeration date
12/27/2005
Last updated
10/04/2011
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