Basic Information
Provider Information
NPI: 1174743710
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARCIA
FirstName: JULIANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 720 COOL SPRINGS BLVD
Address2: SUITE 300
City: FRANKLIN
State: TN
PostalCode: 370672626
CountryCode: US
TelephoneNumber: 6157784066
FaxNumber: 6157789114
Practice Location
Address1: 3811 COMMONS AVE NE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871095832
CountryCode: US
TelephoneNumber: 6157784066
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/26/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083X0100XA-1327-05NMY Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine

No ID Information.


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