Individual
CAROLINE N MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1515 RIVER PL STE 100, BRASELTON, GA 30517-5610
(770) 848-6195
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN306097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2424271
GEORGIA EYE PARTNERW
GA
01
—
2424271
NORTHEAST GEORGIA HOSPITAL SYSTEM
—
Enumeration date
05/04/2022
Last updated
03/16/2023
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