Basic Information
Provider Information
NPI: 1598109381
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARBEE
FirstName: COURTNEY
MiddleName: FLEMING
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5700 ANDREWS REACH LOOP
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284093686
CountryCode: US
TelephoneNumber: 4342424415
FaxNumber:  
Practice Location
Address1: 2520 INDEPENDENCE BLVD
Address2: WILMINGTON AMBULATORY PRACTICE
City: WILMINGTON
State: NC
PostalCode: 28412
CountryCode: US
TelephoneNumber: 8002433839
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/23/2013
LastUpdateDate: 09/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000X210801758NCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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