Individual
DR. RUDOLPH IVEY MINTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 GLENWOOD AVE, SUITE 11, KINSTON, NC 28501
(252) 527-5500
(252) 527-4875
Mailing address
400 GLENWOOD AVE, SUITE 11, KINSTON, NC 28501
(252) 527-5500
(252) 527-4875
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
15536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8953539
—
NC
Enumeration date
05/19/2006
Last updated
07/08/2007
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