Individual
DR. SAMUEL DAVIS MINTLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3241 LINDAS CIR SE, CONYERS, GA 30013-2238
(404) 217-9545
Mailing address
3241 LINDAS CIR SE, CONYERS, GA 30013-2238
(404) 217-9545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028824
GA
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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