Mintz, Alice D

Mintz, Alice D is an individual health care provider with primary practice located at 200 Crescent Centre Park Department Of Behavioral Health, Tucker GA 30084. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mintz, Alice D can be contacted via phone (770) 496-3609.

Contact Information

Primary practice address
200 Crescent Centre Park Department Of Behavioral Health Tucker GA 30084
Phone: (770) 496-3609
Fax: (770) 496-3708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RN027109 Georgia

Profile Details

NPI number 1225130255
LBN Legal business name Mintz, Alice D
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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