Provider Demographics
NPI:1851822787
Name:GARLAND, MYRIAM ANDREA (MD)
Entity type:Individual
Prefix:
First Name:MYRIAM
Middle Name:ANDREA
Last Name:GARLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MYRIAM
Other - Middle Name:ANDREA
Other - Last Name:CALVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1267
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-1267
Mailing Address - Country:US
Mailing Address - Phone:336-719-7112
Mailing Address - Fax:336-786-3752
Practice Address - Street 1:100 N POINTE BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-2266
Practice Address - Country:US
Practice Address - Phone:336-789-6267
Practice Address - Fax:336-786-4245
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-02103208000000X
390200000X
TXS6399208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program