Individual
CALEB MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 283-3030
Mailing address
110 ALLEN LN, NAHUNTA, GA 31553-2060
(912) 285-4983
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
11891
GA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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