Minaxi, LLC

NPI #1063872372 in Martinez, Georgia

Provider Information

NPI Number: 1063872372
Entity Type: Organization
Organization Name: Minaxi, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 29, 2016
Last Updated: Feb 29, 2016

Practice Location

Address: 3524 LOST TREE CT
City: Martinez
State: Georgia
ZIP Code: 30907-9500
Phone: (706) 267-7681

Authorized Official

Name: HETAL THAKORE, MD
Title: OWNER
Phone: (706) 267-7681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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