Individual
JOHN WAYNE MINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10007 ELSENHAM LN, CHARLOTTE, NC 28269-8349
(704) 497-5338
Mailing address
10007 ELSENHAM LN, CHARLOTTE, NC 28269-8349
(704) 497-5338
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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