Individual
DR. KATHERINE A MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1481 TOBIAS GADSON BLVD STE 1, CHARLESTON, SC 29407-4879
(843) 402-3093
(843) 402-3094
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
19855
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T38938
—
SC
Enumeration date
06/24/2005
Last updated
01/13/2020
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