Individual
JOHN S. MINASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SAINT FRANCIS DR, ST 360, GREENVILLE, SC 29601-3971
(864) 233-4349
Mailing address
3 SAINT FRANCIS DR, ST 360, GREENVILLE, SC 29601-3971
(864) 233-4349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101040200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007377177
—
VA
01
—
020000718
MEDICARE PROVIDER BILLING NUMBER
VA
Enumeration date
11/01/2011
Last updated
10/31/2014
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