Search › Georgia › 106S00000X
Shemar Mintze
NPI 1598589467 · on the registry since 2024 · sole proprietor
Practice
- Address
- 290 Martin Luther King Jr Dr Se
Atlanta, GA 30312 - Phone
- (912) 292-3214
- Organisation at this address
- C. Cooper Enterprises Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia