Ma Lourdes Blas Mina MD

NPI 1659558286 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1659558286
Gender Female
Enumeration Date 01/25/2008
Last Updated 02/25/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
380 HOSPITAL DR
SUITE 100
MACON GA, 31217-8001, US
Phone (478) 743-4646
Fax (478) 742-5549
Business Location
380 HOSPITAL DR
SUITE 100
MACON GA, 31217-8001, US
Phone (478) 743-4646
Fax (478) 742-5549
Toxanomy
Taxonomy Code 207V00000X
License State Georgia
License Number 001708
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According to our database, Ma Lourdes Blas Mina MD NPI is 1659558286, taxonomy code is 207V00000X and license number is 001708, license state is located at Georgia. Ma Lourdes Blas Mina MD physically located at 380 Hospital Dr, Macon GA, 31217-8001. NPI Number Ma Lourdes Blas Mina MD has the Individual type.

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1659558286 NPI number is provided on an as is basis without warranty of any kind. 1659558286 is maintained by the National Plan & Provider Enumeration System. The contents of Ma Lourdes Blas Mina MD are for informational purposes only.