Individual
DR. MICHAEL LEE MINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.P.H.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2960
(706) 721-2371
Mailing address
5445 MERIDIAN MARKS RD STE 200, ATLANTA, GA 30342-4755
(404) 785-9557
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN014462
GA
Other
Enumeration date
08/22/2012
Last updated
07/03/2019
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