Individual
ELAINE C MININGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
677 CASCADE AVE SW, ATLANTA, GA 30310-2404
(470) 444-3143
(470) 467-7469
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN181429
GA
Other
Enumeration date
01/02/2019
Last updated
11/07/2025
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