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NPI Code Detail

MEDICARE: ALICE MINKOFF

MEDICARE: ALICE MINKOFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN 188941GA

General Provider Information

NPI Number : 1457737892
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE MINKOFF
Provider Business Mailing Address
First Line : 865 N HIGHLAND AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4565
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 865 N HIGHLAND AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4565
Country : US
Telephone Number : 404-733-6089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2015
Last Update Date : 02/12/2026

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Directions to “ ALICE MINKOFF ” Practice Location

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