Healthcare Provider Details

I. General information

NPI: 1053835256
Provider Name (Legal Business Name): LINDA KARINA GARCIA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2017
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SIVLEY RD SW
HUNTSVILLE AL
35801-4421
US

IV. Provider business mailing address

PO BOX 040005
HUNTSVILLE AL
35804-4005
US

V. Phone/Fax

Practice location:
  • Phone: 256-536-5594
  • Fax: 256-533-3379
Mailing address:
  • Phone: 256-801-6504
  • Fax: 256-801-6905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.2082
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: