Medina, Carlos A
Medina, Carlos A is an individual health care provider with primary practice located at 500 E Oglethorpe Hwy , Hinesville GA 31313-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Medina, Carlos A can be contacted via phone (843) 577-5011.Contact Information
Primary practice address
500 E Oglethorpe Hwy
Hinesville GA 31313-2804
Phone: (843) 577-5011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 123638 | New York |
Profile Details
| NPI number | 1710048228 |
|---|---|
| LBN Legal business name | Medina, Carlos A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Mar 20th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710048228 | NPPES |
| New York | MEDICAID | 00986172 |
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