Individual
DR. MINI ANN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
775 SUNSET DR, ATHENS, GA 30606-2211
(706) 425-1548
Mailing address
775 SUNSET DR, ATHENS, GA 30606-2211
(706) 425-1548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062917
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2007
Last updated
07/13/2012
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