MINI-MED CLINIC OF NORTH GEORGIA, LLC is a clinic center in Canton, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MINI-MED CLINIC OF NORTH GEORGIA, LLC NPI is 1124792106. The provider is registered as an organization entity type.
The provider Is Doing Business As Mini-med Clinic Of North Georgia.
The provider's business location address is:
5113 HOLLY SPRINGS PARKWAY
CANTON, GA
ZIP 30115
Phone: (470) 331-3544
The provider's authorized official is Sophia Kennedy .
The authorized official title is Nurse Practitioner and has the following contact phone number (678) 398-9697.
The CLIA number assigned to this NPI record is 11D2232018 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/27/2021.