Basic Information
| Provider Information | |||||||||
| NPI: | 1992761399 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCHAR | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8310 MEDICAL PLAZA DR | ||||||||
| Address2: | STE E. | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282626701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045480222 | ||||||||
| FaxNumber: | 7045481157 | ||||||||
| Practice Location | |||||||||
| Address1: | 8310 MEDICAL PLAZA DR | ||||||||
| Address2: | STE E. | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282626701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045480222 | ||||||||
| FaxNumber: | 7045481157 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2006 | ||||||||
| LastUpdateDate: | 02/18/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213ES0103X | 463 | NC | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
ID Information
| ID | Type | State | Issuer | Description | 891328K | 05 | NC | MEDICAID |