Individual
ANJU GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5553 HIGHWAY 90, PACE, FL 32571-1540
(850) 995-8811
(850) 995-8810
Mailing address
PO BOX 2276, PENSACOLA, FL 32513-2276
(850) 995-8811
(850) 995-8810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.30622
AL
207Q00000X
Family Medicine Physician
Primary
ME71208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250597500
—
FL
01
—
31693
BLUE CROSS BLUE SHIELD
FL
01
—
591-58028
BLUE CROSS BLUE SHIELD
AL
01
—
591-58029
BLUE CROSS BLUE SHIELD
AL
01
—
59195666
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/16/2005
Last updated
12/12/2011
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