Individual
VIA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(706) 979-4267
Mailing address
1000 ETOWAH FERRY DR APT 7215, ACWORTH, GA 30102-1844
(706) 979-4267
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
12629
GA
Other
Enumeration date
06/18/2024
Last updated
10/09/2024
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