Provider Demographics
NPI:1982167607
Name:GARIC, ALIXANDRA JILLIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALIXANDRA
Middle Name:JILLIAN
Last Name:GARIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:447 MCALISTER RD STE 3500
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-4131
Mailing Address - Country:US
Mailing Address - Phone:980-212-6230
Mailing Address - Fax:980-212-6231
Practice Address - Street 1:447 MCALISTER RD STE 3500
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4131
Practice Address - Country:US
Practice Address - Phone:980-212-6230
Practice Address - Fax:980-212-6231
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2023-01596207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology