Individual
MISS ERICA NICOLE MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D,O.
Contact information
Practice address
620 JOHN PAUL JONES CIR, GRADUATE MEDICAL EDUCATION, PORTSMOUTH, VA 23708-2197
(757) 953-0669
Mailing address
FRANKLIN CORRECTION FACILITY, 5918 NC-39, BUNN, NC 27508
(919) 496-6119
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
03148
NC
208D00000X
General Practice Physician
Primary
2020-03148
NC
Other
Enumeration date
07/14/2011
Last updated
11/09/2023
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