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Carol Asfoura Medina, MD
Student in an Organized Health Care Education/Training Program in Moultrie, Georgia
NPI 1912600776

Carol Asfoura Medina is a Student in an Organized Health Care Education/Training Program based in Moultrie, GA. Carol Asfoura Medina practices in Moultrie, GA and has the professional credentials of MD. The NPI Number for Carol Asfoura Medina is 1912600776 and holds a License No. (Georgia).

The current practice location address for Carol Asfoura Medina is 1 Magnolia Ct, Moultrie, GA and can be reached out via phone at 229-502-9753.

Location: 1 Magnolia Ct, Moultrie, GA, 31768-6764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912600776
Provider Name
Carol Asfoura Medina
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Magnolia Ct, Moultrie, GA, 31768-6764
Phone Number
229-502-9753
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Magnolia Ct
City
Moultrie
State
Georgia
Zip
31768-6764
Phone Number
229-502-9753
Fax Number
person
Provider Business Mailing Address Details
Address
1 Magnolia Ct
City
Moultrie
State
Georgia
Zip
31768-6764
Phone Number
229-502-9753
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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