MEDICARE: ELIZABETH GARCIA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0110-007691	VA

General Provider Information

NPI Number	:	1013583061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH GARCIA PA-C

Provider Business Mailing Address
First Line	:	10401 HOSPITAL DR STE 101
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-3150
Country	:	US
Telephone Number	:	301-856-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	10401 HOSPITAL DR STE 101
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-3150
Country	:	US
Telephone Number	:	301-856-2323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	11/04/2025

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