Mini-Med Clinic of North Georgia, LLC

NPI #1124792106 in Canton, Georgia

Provider Information

NPI Number
1124792106
Entity Type
Organization
Organization Name
Mini-Med Clinic of North Georgia, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Aug 4, 2021
Last Updated
Aug 27, 2021

Practice Location

Address
5113 HOLLY SPRINGS PARKWAY
City
Canton
State
Georgia
ZIP Code
30115
Phone
(470) 331-3544

Authorized Official

Name
MS. SOPHIA KENNEDY, NP
Title
NURSE PRACTITIONER
Phone
(678) 398-9697

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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