Individual
WILLIAM MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 PROFESSIONAL DR STE 170, LAWRENCEVILLE, GA 30046-3392
(678) 312-2663
(770) 962-8587
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-177377
IL
207XX0801X
Orthopaedic Trauma Physician
30917
AL
207XX0801X
Orthopaedic Trauma Physician
51764
SC
207XX0801X
Orthopaedic Trauma Physician
Primary
70971
GA
207XX0801X
Orthopaedic Trauma Physician
A110738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051120543
BCBS
AL
01
—
051120544
BCBS
AL
01
—
051120546
BCBS
AL
01
—
051120547
BCBS
AL
05
—
07570265
—
MS
05
—
131850
—
AL
05
—
131852
—
AL
05
—
131854
—
AL
05
—
131856
—
AL
01
—
Z21050
VIVA
AL
Enumeration date
06/19/2007
Last updated
02/09/2026
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