Individual
DR. ALBERT CHARLES MINA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 N POINSETT HWY, TRAVELERS REST, SC 29690-1667
(864) 834-4151
(864) 834-6145
Mailing address
406 N POINSETT HWY, TRAVELERS REST, SC 29690-1667
(864) 834-4151
(864) 834-6145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22497
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
TAXONOMY
—
05
—
224974
—
SC
Enumeration date
02/06/2006
Last updated
07/08/2007
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