Provider Demographics
NPI:1336799584
Name:GARLAND, TONYA MCNEIL
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:MCNEIL
Last Name:GARLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MILLER CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1878
Mailing Address - Country:US
Mailing Address - Phone:984-209-2757
Mailing Address - Fax:919-237-3930
Practice Address - Street 1:3 MILLER CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1878
Practice Address - Country:US
Practice Address - Phone:984-209-2757
Practice Address - Fax:919-237-3930
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9910935172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver