Organization · Type 2 NPI

Mini-Med Clinic of North Georgia, LLC

Clinic/Center · Canton, GA

NPI number 1124792106 Active

Practice location

5113 Holly Springs Parkway
Canton, GA 30115

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1124792106
Entity type: Organization (Type 2)
Issued: Aug 4, 2021
Last updated: Aug 27, 2021
Status: Active

Other names

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Mini-Med Clinic of North Georgia · doing business as
Mini-Med Clinic of North Georgia · doing business as

Authorized official

Ms. Sophia Kennedy, NP
Nurse Practitioner
(678) 398-9697

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About NPI 1124792106

Mini-Med Clinic of North Georgia, LLC's National Provider Identifier is 1124792106, issued on Aug 4, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Canton, GA. The record was last updated on Aug 27, 2021.