Individual
MADELYN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2605 KINARD ST, SUITE 200, NEWBERRY, SC 29108-2967
(803) 405-1900
(803) 405-1919
Mailing address
2605 KINARD ST, SUITE 200, NEWBERRY, SC 29108-2967
(803) 405-1900
(803) 405-1919
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1150
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1150
PA-C SOUTH CAROLINA LICENSE
SC
Enumeration date
03/03/2010
Last updated
02/11/2014
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