Provider Demographics
NPI:1265708200
Name:GARVEY, CARLY BROOKE (PA)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:BROOKE
Last Name:GARVEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:BROOKE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 10TH AVE S STE 444
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1250
Mailing Address - Country:US
Mailing Address - Phone:205-723-0088
Mailing Address - Fax:205-406-7222
Practice Address - Street 1:2700 10TH AVE S STE 444
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1250
Practice Address - Country:US
Practice Address - Phone:205-723-0088
Practice Address - Fax:205-406-7222
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL806363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical