Individual provider · Type 1 NPI

Cyril Mina

Student in an Organized Health Care Education/Training Program · Athens, GA

NPI number 1104610583 Active

Practice location

1500 Oglethorpe Ave Ste 200C
Athens, GA 30606-2165

Call (706) 389-3875 Map

Fax (706) 389-3876

Mailing address

1230 Baxter St
Athens, GA 30606-3712

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104610583

Cyril Mina's National Provider Identifier is 1104610583, issued on Apr 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Athens, GA. The record was last updated on Apr 8, 2025.