Individual
AKIVA MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
2008-01059
NC
207U00000X
Nuclear Medicine Physician
MT184909
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909857
—
NC
Enumeration date
01/10/2007
Last updated
10/08/2010
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