Individual
DR. HAROLD ADRIAN MINERVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4536 CHAMBLEE DUNWOODY RD, STE 250, DUNWOODY, GA 30338-6200
(770) 455-6100
Mailing address
4046 PRESTON OAKS PL, LITHONIA, GA 30038-3986
(770) 696-2071
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
44544
GA
208D00000X
General Practice Physician
Primary
44544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000816582C
—
GA
Enumeration date
05/08/2007
Last updated
09/28/2019
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