Individual
CARLOS DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2412 WILKINS DR, SANFORD, NC 27330-7268
(919) 776-6000
(919) 776-0130
Mailing address
330 SEVEN SPRINGS WAY, ATTN: PROVIDER ENROLLMENT, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
28019
NC
207Q00000X
Family Medicine Physician
Primary
8428019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225017122
—
NC
Enumeration date
01/10/2006
Last updated
05/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us