Individual
DR. IAN LLOYD GARRIQUES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
496 ALTAPASS HWY, SPRUCE PINE, NC 28777-3011
(828) 765-0170
(828) 765-5877
Mailing address
496 ALTAPASS HWY, SPRUCE PINE, NC 28777-3011
(828) 765-0170
(828) 765-5877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0021275
FL
207R00000X
Internal Medicine Physician
Primary
2006-00656
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2071062
MEDICARE PTAN
NC
01
—
52928
BLUE CROSS, BLUE SHIELD
FL
Enumeration date
02/22/2007
Last updated
04/01/2009
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