Medina, Cameron

Medina, Cameron is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Medina, Cameron can be contacted via phone (770) 836-9666.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (770) 836-9666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8408 Georgia

Profile Details

NPI number 1548786585
LBN Legal business name Medina, Cameron
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2017
Last updated Aug 22nd, 2017 - about 7 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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