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Contact Information

JON E MINTER, D.O
3400 OLD MILTON PKWY # C
STE 290
ALPHARETTA, GA30005-3707
 Phone: 770-667-4337
 Fax: 770-677-4338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JON E MINTER · (Male)

NPI # 1689661787
Status Active
Credentials D.O
Entity Individual
Enumeration date 10/04/2005
Last updated 01/25/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 044545
  • TN License # DO01978
  • GA Medicaid 000761428F
  • GA Medicaid 000761428L
  • GA Medicaid 000761428M
  • GA Medicaid 000761428N
  • TN Medicaid 1507427
  • VA Medicaid 1689661787
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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