Individual
MANUEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 WHEELER RD STE 110, AUGUSTA, GA 30909-6544
(706) 723-1632
Mailing address
3633 WHEELER RD STE 110, AUGUSTA, GA 30909-6544
(706) 723-1632
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
90327
GA
Other
Enumeration date
04/19/2011
Last updated
08/26/2024
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