Organization
MINA NAYAK M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA C NAYAK MD (OFFICE MANAGER)
(678) 715-8500
Entity
Organization
Contact information
Practice address
4904 TIMBER RIDGE DRIVE, SUITE 102, DOUGLASVILLE, GA 30135-1831
(678) 715-8500
(770) 489-7884
Mailing address
4904 TIMBER RIDGE DRIVE, SUITE 102, DOUGLASVILLE, GA 30135-1831
(678) 715-8500
(770) 489-7884
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
032004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000438248C
—
GA
Enumeration date
12/11/2006
Last updated
09/24/2008
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