Healthcare Provider Details

I. General information

NPI: 1023376118
Provider Name (Legal Business Name): NATALIA GARCIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 05/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 NORTHSIDE BLVD STE 4000
CUMMING GA
30041-8216
US

IV. Provider business mailing address

5592 SKYLAR CREEK LN
BUFORD GA
30518-4405
US

V. Phone/Fax

Practice location:
  • Phone: 678-513-2273
  • Fax: 678-513-8869
Mailing address:
  • Phone: 646-667-7327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN214834
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: