Individual
DR. AMERICO MICHAEL MINOTTI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
(336) 526-1977
(336) 526-0061
Mailing address
250 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
(336) 526-1977
(336) 526-0061
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
96-00345
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0264P
BLUE CROSS BLUE SHIELD
NC
01
—
6307
PARTNERS
NC
05
—
890264P
—
NC
Enumeration date
04/05/2006
Last updated
06/04/2020
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