Individual
BONNIE ELIZABETH MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 362-5391
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11796
NC
363A00000X
Physician Assistant
Primary
PA9112677
FL
Other
Enumeration date
11/20/2019
Last updated
07/18/2022
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