Medina, Anthony E.

Medina, Anthony E. is an individual health care provider with primary practice located at 2696 Lawrenceville Suwanee Rd , Suwanee GA 30024-2535. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Medina, Anthony E. can be contacted via phone (678) 376-1300.

Contact Information

Primary practice address
2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535
Phone: (678) 376-1300
Fax: (678) 514-2936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X RC60035704 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006030 Georgia

Profile Details

NPI number 1174779177
LBN Legal business name Medina, Anthony E.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2008
Last updated May 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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