Individual
DR. JON E. MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3400 OLD MILTON PKWY # C, STE 290, ALPHARETTA, GA 30005-3707
(770) 667-4337
(770) 677-4338
Mailing address
3400 OLD MILTON PKWY # C, STE 290, ALPHARETTA, GA 30005-3707
(770) 667-4337
(770) 677-4338
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
044545
GA
207X00000X
Orthopaedic Surgery Physician
DO01978
TN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
044545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000761428F
—
GA
05
—
000761428L
—
GA
05
—
000761428M
—
GA
05
—
000761428N
—
GA
05
—
1507427
—
TN
05
—
1689661787
—
VA
Enumeration date
10/04/2005
Last updated
01/25/2017
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