Individual
MISS AMINA BEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST, COLUMBUS, GA 31901-2246
(706) 494-8900
(706) 494-8901
Mailing address
1110 13TH ST, COLUMBUS, GA 31901-2246
(706) 494-8900
(706) 494-8901
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN158807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510444172
TAX ID
GA
Enumeration date
07/26/2016
Last updated
07/26/2016
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