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General NPI Number Information
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NPI Number | 1841495710
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Entity Type | Individual
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Provider Name | WILLIAM MIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 631 PROFESSIONAL DR STE 170
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3392
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Country | US
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Telephone | 678-312-2663
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Fax | 770-962-8587
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | FORTSON
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State | GA
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Zip | 31808-0370
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Country | US
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Telephone |
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Fax | 706-494-3008
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036-177377
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 30917
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 51764
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 70971
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License Number State | GA
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