Provider Demographics
NPI:1477713725
Name:GARCIA, KLEPPER ALFREDO (MD)
Entity type:Individual
Prefix:DR
First Name:KLEPPER
Middle Name:ALFREDO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 15TH ST # BI-3078A
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-5905
Mailing Address - Country:US
Mailing Address - Phone:706-721-1990
Mailing Address - Fax:706-721-1962
Practice Address - Street 1:1120 15TH ST # BI-3078A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-5905
Practice Address - Country:US
Practice Address - Phone:706-721-1990
Practice Address - Fax:706-721-1962
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125053979390200000X
MO2011019201390200000X, 390200000X
GA698122084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program