Individual
JOSHUA MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, RN
Contact information
Practice address
105 WALNUT ST, MONTEZUMA, GA 31063-1902
(478) 472-4633
(478) 472-4637
Mailing address
105 WALNUT ST, MONTEZUMA, GA 31063-1902
(478) 472-4633
(478) 472-4637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
RN248941
GA
Other
Enumeration date
02/24/2012
Last updated
06/13/2022
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