Alicea M Mingo in Huntsville - General Practice

Alicea M Mingo - NPI 1770554636

Alicea M Mingo is a General Practice in Huntsville, Alabama. Alicea M Mingo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alicea M Mingo is 1770554636. The last update date is 2007-07-08.

Alicea M Mingo's current location address is 1405 Wind River Dr Se, Huntsville, Alabama. You can contact this provider via phone number 3604403410. The mailing address for Alicea M Mingo is 1405 Wind River Dr Se, Huntsville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Alicea M Mingo
Address 1405 Wind River Dr Se, Huntsville, Alabama
Phone Number 3604403410
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1770554636
Provider Enumeration Date 2006-01-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1405 Wind River Dr Se
City Huntsville
State Alabama (AL)
Post Code 358023959
Phone Number 3604403410
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 106112719
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Alicea M Mingo

What is the Alicea M Mingo's unique identification number?

The Alicea M Mingo has been assigned the NPI (National Provider Identifier) Number 1770554636 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 physical address where Alicea M Mingo is located?

The Alicea M Mingo is situated at the following address: 1405 Wind River Dr Se, Huntsville, AL, 358023959.

What is Alicea M Mingo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Alicea M Mingo is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770554636 to Alicea M Mingo?

The Centers for Medicare & Medicaid Services assigned the 1770554636 to Alicea M Mingo on 2006-01-30.

As of what date were the Alicea M Mingo's details last updated?

The information pertaining to the Alicea M Mingo, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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