Individual
MICHAEL B MINIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 CORDER RD, WARNER ROBINS, GA 31088
(478) 923-5872
(478) 922-9020
Mailing address
216 CORDER RD, WARNER ROBINS, GA 31088-3604
(478) 923-5872
(478) 922-9020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
60671
GA
207W00000X
Ophthalmology Physician
ME80880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255128895C
—
GA
05
—
64322324
—
KY
01
—
P00276129
RAILROAD MEDICARE
—
Enumeration date
07/22/2006
Last updated
06/13/2018
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