Individual
MRS. GINA MARIE GARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1540 SUNDAY DRIVE, RALEIGH, NC 27607
(919) 782-3456
(919) 783-1441
Mailing address
25 PORTERS GLEN PL, DURHAM, NC 27713-9164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01371
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-01371
MEDICAL LICENSE NUMBER
NC
Enumeration date
07/21/2008
Last updated
02/08/2010
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