Individual
MINELA MAHMUTOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
930 NEW HOPE RD, SUITE 11-526, LAWRENCEVILLE, GA 30045
(404) 921-4973
Mailing address
930 NEW HOPE RD, SUITE 11-526, LAWRENCEVILLE, GA 30045-6576
(404) 921-4973
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
GA
Other
Enumeration date
04/20/2018
Last updated
05/15/2018
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