Individual provider · Type 1 NPI
Irineo Mina Sibal, MD
Adolescent Medicine (Family Medicine) Physician · Augusta, GA
NPI number
1114059136
Active
Practice location
3485 Mike Padgett Hwy
Augusta, GA 30906-3815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 0018845 (GA) |
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | 0018845 (GA) |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Another provider at this address
About NPI 1114059136
Irineo Mina Sibal, MD's National Provider Identifier is 1114059136, issued on Mar 12, 2007. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Augusta, GA. The record was last updated on Sep 11, 2025.