Individual
MRS. MARGARET S. MINCHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2010 OCILLA RD, DOUGLAS, GA 31533-2230
(912) 384-1477
Mailing address
11 CROSS ST, HAZLEHURST, GA 31539
(912) 384-2500
(912) 383-6788
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002790
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002790
PHYSICIAN ASSISTANT #
GA
05
—
100001771B
—
GA
01
—
11D0909097
CLIA ID
GA
Enumeration date
11/14/2006
Last updated
03/17/2018
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