Individual
CRAIG M MINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2820 MAIN ST W, SNELLVILLE, GA 30078-3156
(770) 978-1422
(770) 978-1423
Mailing address
2820 MAIN ST W, SNELLVILLE, GA 30078-3156
(770) 978-1422
(770) 978-1423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01057724A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
058902
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445180
—
IN
05
—
773737921A
—
GA
Enumeration date
07/12/2005
Last updated
09/02/2021
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