Caleb Mingo, CAA

Anesthesiologist Assistant · Waycross, GA

Individual Active NPI

NPI number 1699540112

Practice location

1900 Tebeau St
Waycross, GA 31501-6357
Phone
(912) 283-3030

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NPI record

NPI
1699540112
Entity type
Individual (Type 1)
Enumeration date
November 15, 2023
Last updated
November 15, 2023
Certified
November 15, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 11891 GA

Mailing address

110 Allen Ln
Nahunta, GA 31553-2060
Phone
(912) 285-4983

About Caleb Mingo

Caleb Mingo, CAA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 1900 Tebeau St, Waycross, GA 31501-6357. The NPI number 1699540112 was assigned on November 15, 2023 and the record was last updated on November 15, 2023.

Caleb Mingo lists a license in the registry: #11891 (GA) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caleb Mingo, CAA?

The NPI number is 1699540112.

What is the phone number of Caleb Mingo?

The phone number listed for the practice location is (912) 283-3030.

Where is Caleb Mingo located?

1900 Tebeau St, Waycross, GA 31501-6357.

What is the taxonomy code for Caleb Mingo?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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