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General NPI Number Information
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NPI Number | 1881685337
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Entity Type | Individual
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Provider Name | AMELIA GARCIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9501 FARRELL RD
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5901
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Country | US
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Telephone | 703-805-0599
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Fax |
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Provider Business Mailing Address
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Address Line | 7255 CASTLEFIELD WAY
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City | SPRINGFIELD
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State | VA
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Zip | 22150-4924
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Country | US
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Telephone | 703-644-1117
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101231748
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License Number State | VA
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