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Individual

ALBERTO GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
209 E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-1794
(229) 794-9794
Mailing address
4370 KINGS WAY STE E, VALDOSTA, GA 31602-6905
(229) 794-1794
(229) 794-9794

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54374
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
494369374A
GA
01
P00229913
RR MEDICARE
GA
Enumeration date
10/16/2006
Last updated
10/10/2019
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