Individual
MA LOURDES BLAS MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
380 HOSPITAL DR, SUITE 100, MACON, GA 31217-8001
(478) 743-4646
(478) 742-5549
Mailing address
380 HOSPITAL DR, SUITE 100, MACON, GA 31217-8001
(478) 743-4646
(478) 742-5549
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
001708
GA
Other
Enumeration date
01/25/2008
Last updated
02/25/2015
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