Individual
KATHRYN M MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1664 MULKEY RD, AUSTELL, GA 30106
(770) 422-1372
(770) 999-2599
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
46452
GA
207RP1001X
Pulmonary Disease Physician
46452
GA
Other
Enumeration date
10/16/2006
Last updated
10/16/2019
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