Provider Demographics
NPI:1104310093
Name:GARCIA-AVILA, SCARLETTE A (MD)
Entity type:Individual
Prefix:DR
First Name:SCARLETTE
Middle Name:A
Last Name:GARCIA-AVILA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SCARLETTE
Other - Middle Name:A
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:245 OAKLAND PKWY APT 1204
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:GA
Mailing Address - Zip Code:31763-1835
Mailing Address - Country:US
Mailing Address - Phone:848-234-2788
Mailing Address - Fax:
Practice Address - Street 1:2701 MEREDYTH DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2267
Practice Address - Country:US
Practice Address - Phone:229-883-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96264207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism