Villafane, Minerva

Villafane, Minerva is an individual health care provider with primary practice located at Pathways Center 122-C Gordon Commercial Dr, Lagrange GA 30240-5754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Villafane, Minerva can be contacted via phone (706) 845-4045.

Contact Information

Primary practice address
Pathways Center 122-C Gordon Commercial Dr Lagrange GA 30240-5754
Phone: (706) 845-4045
Fax: (706) 845-4367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD439863 Pennsylvania

Profile Details

NPI number 1073587895
LBN Legal business name Villafane, Minerva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073587895 NPPES
Georgia MEDICAID 000856413A

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