Individual
DR. IRINEO MINA SIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3485 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 771-7843
Mailing address
3485 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 771-7843
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
0018845
GA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
0018845
GA
Other
Enumeration date
03/12/2007
Last updated
09/11/2025
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