Medina, Manuel

Medina, Manuel is an individual health care provider with primary practice located at 3675 J Dewey Gray Cir Ste 300 , Augusta GA 30909-1868. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Medina, Manuel can be contacted via phone (706) 863-9595.

Contact Information

Primary practice address
3675 J Dewey Gray Cir Ste 300 Augusta GA 30909-1868
Phone: (706) 863-9595
Fax: (706) 868-8375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 90327 Georgia

Profile Details

NPI number 1558651935
LBN Legal business name Medina, Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Dec 15th, 2021 - about 3 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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