Individual
DR. CHRISTIE B MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 SAINT FRANCIS DR, SUITE 490, GREENVILLE, SC 29601-3973
(864) 220-4263
(864) 220-5836
Mailing address
3 SAINT FRANCIS DR, SUITE 490, GREENVILLE, SC 29601-3973
(864) 220-4263
(864) 220-5836
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
22496
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928551B
—
GA
01
—
22496
STATE LICENSE NUMBER
SC
05
—
224965
—
SC
Enumeration date
08/12/2006
Last updated
03/07/2023
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