Individual
ANGELA MARIE GARCIA-GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6431 OLD PLANK RD, HIGH POINT, NC 27265-3274
(336) 875-6530
(336) 875-6531
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06033
NC
363AM0700X
Medical Physician Assistant
0010-06033
NC
363AM0700X
Medical Physician Assistant
PA06565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-06033
NC LICENSE
NC
01
—
20192388
DPS
TX
Enumeration date
10/01/2012
Last updated
02/17/2022
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