Individual
DR. CHALLIE A MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 SCENIC OUTLET LN STE 2, MOUNT AIRY, NC 27030-9978
(336) 352-4900
(336) 352-4901
Mailing address
113 SCENIC OUTLET LN STE 2, MOUNT AIRY, NC 27030-9978
(336) 352-4900
(336) 352-4901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-01632
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58996
—
NC
Enumeration date
06/06/2007
Last updated
03/19/2020
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