Individual
TINA MINGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT 8788
Contact information
Practice address
127 ENOLA RD, MORGANTON, NC 28655-4603
(828) 433-0058
Mailing address
5581 SHERIFFS RD, LENOIR, NC 28645-9298
(828) 320-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8788
NC
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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