Individual
MRS. TINA M MCGINTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
250 CHURCH AVE, GULFPORT, MS 39507-1255
(228) 224-5264
(228) 897-1100
Mailing address
250 CHURCH AVE, GULFPORT, MS 39507-1255
(228) 224-5264
(228) 897-1100
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
97253
MS
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN 97253
NC OF A SURGEONS
MS
Enumeration date
05/17/2007
Last updated
09/27/2020
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