Individual
EILEEN MINGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(301) 452-0141
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09077
NC
363A00000X
Physician Assistant
001009077
NC
363A00000X
Physician Assistant
016582
NY
Other
Enumeration date
05/24/2013
Last updated
07/23/2019
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