Mines, Craig M
Mines, Craig M is an sole proprietor health care provider with primary practice located at 2820 Main St W , Snellville GA 30078-3156. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mines, Craig M can be contacted via phone (770) 978-1422.Contact Information
Primary practice address
2820 Main St W
Snellville GA 30078-3156
Phone: (770) 978-1422
Fax: (770) 978-1423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01057724A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 058902 | Georgia |
Profile Details
| NPI number | 1609874726 |
|---|---|
| LBN Legal business name | Mines, Craig M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Sep 2nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609874726 | NPPES |
| Indiana | MEDICAID | 200445180 | |
| Indiana | MEDICAID | 773737921A |
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