Individual
JENNA LYNN MINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
120 SIDETRACK CIR, COMER, GA 30629-4046
(103) 998-7888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
05/29/2024
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