Organization
MINI-MED CLINIC OF NORTH GEORGIA, LLC
Active
Other names
Mini-Med Clinic of North Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOPHIA KENNEDY NP (NURSE PRACTITIONER)
(678) 398-9697
Entity
Organization
Contact information
Practice address
5113 HOLLY SPRINGS PARKWAY, CANTON, GA 30115
(470) 331-3544
Mailing address
5113 HOLLY SPRINGS PARKWAY, CANTON, GA 30115
(678) 398-9697
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/27/2021
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