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NPI Code Detail

MEDICARE: KATHY LYNN MINTER MD

MEDICARE:   KATHY LYNN MINTER  MD
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
1207R00000XInternal Medicine Physician38309GA

General Provider Information

NPI Number : 1548242878
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY LYNN MINTER MD
Provider Business Mailing Address
First Line : 3193 HOWELL MILL RD NW # S-329
Second Line :
City : ATLANTA
State : GA
Zip : 30327-2119
Country : US
Telephone Number : 404-352-4210
Fax Number :
Provider Business Practice Location Address
First Line : 3193 HOWELL MILL RD NW # S-329
Second Line :
City : ATLANTA
State : GA
Zip : 30327-2119
Country : US
Telephone Number : 404-352-4210
Fax Number : 404-352-5868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 10/25/2022

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Directions to “ KATHY LYNN MINTER MD” Practice Location

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