Irineo Mina Sibal in Augusta - Adolescent Medicine
Irineo Mina Sibal - NPI 1114059136
Irineo Mina Sibal is a Adolescent Medicine in Augusta, Georgia. Irineo Mina Sibal practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Irineo Mina Sibal is 1114059136. The last update date is 2007-07-08.
Irineo Mina Sibal's current location address is 3485 Mike Padgett Hwy, Augusta, Georgia. You can contact this provider via phone number 7067717843. The mailing address for Irineo Mina Sibal is 3485 Mike Padgett Hwy, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irineo Mina Sibal |
|---|---|
| Address | 3485 Mike Padgett Hwy, Augusta, Georgia |
| Phone Number | 7067717843 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114059136 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3485 Mike Padgett Hwy |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309063815 |
| Phone Number | 7067717843 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 18845 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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Post Comment/ Review Below
What is the Irineo Mina Sibal's unique identification number?
The Irineo Mina Sibal has been assigned the NPI (National Provider Identifier) Number 1114059136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Irineo Mina Sibal is physically located?
The Irineo Mina Sibal is situated at the following address: 3485 Mike Padgett Hwy, Augusta, GA 309063815.
What is Irineo Mina Sibal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Irineo Mina Sibal is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0000X.
On what date did the Irineo Mina Sibal receive the assignment of its 1114059136 from the Centers for Medicare & Medicaid Services?
The Irineo Mina Sibal was issued its 1114059136 by the Centers for Medicare & Medicaid Services on 2007-03-12.
As of what date was the information regarding Irineo Mina Sibal, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Irineo Mina Sibal, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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